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Figure 3D


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Figure 3d.  HCC supplied by the right IPA in a 44-year-old man. (a) Arterial phase dynamic CT scan shows a huge mass (*) at the dome of the right hepatic lobe. (b) Selective common hepatic angiogram from the first session of TACE shows extensive hypervascular tumor staining. Note the wedge-shaped area without tumor staining (arrowhead) at the dome of the right hepatic lobe. (c) Selective angiogram obtained via the right IPA (arrow), which originates from the celiac trunk, shows hypervascular tumor staining (arrowhead) that corresponds to the nonstained area on the common hepatic angiogram (b). (d) Radiograph obtained after embolization of the right hepatic artery and right IPA shows the HCC (*) compactly laden with Lipiodol (iodized oil; Guerbet, Roissy, France).







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