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Figure 7c. Right IPA originating from the superior mesenteric artery and supplying a huge HCC in a 49-year-old woman. (a) Arterial phase dynamic CT scan shows the right IPA (arrow) originating from the superior mesenteric artery (arrowhead). (b) Arterial phase dynamic CT scan obtained at a higher level shows a huge HCC (*) at the dome of the right hepatic lobe. Note the hypertrophied right IPA (arrow). (c) Selective superior mesenteric angiogram from the first session of TACE shows hypervascular tumor staining (*) from the right IPA (arrow), which originates from the superior mesenteric artery (arrowhead). Celiac angiography showed the huge hypervascular tumor with faint tumor staining, which corresponded to the hypervascular tumor staining seen on the superior mesenteric angiogram, in the right superior portion of the liver.
