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Angina and Right Upper Quadrant Mass

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BACKGROUND
This 72-year-old woman with hyperlipidemia was referred to the hepatobiliary department because of a right upper quadrant mass. The mass was discovered during a preoperative workup for coronary bypass surgery to treat triple-vessel disease that caused episodes of angina. The patient previously underwent coronary angioplasty.

The mass was thought to arise from the right lobe of the liver and was found on upper abdominal ultrasonography (US) following an episode of right upper quadrant pain. CT was performed to further characterize the mass.

Series of images are provided, including US images (A), Tc-labeled RBC scans (B), CT angiography scans (C), and axial CT scans (D).

What is the diagnosis?
Hint
Probable coronary steal from a vascular tumor?
Author: Ali Nawaz Khan, MBBS, FRCP, FRCS, FRCR, Lecturer, Department of Diagnostic Radiology, Faculty of Medicine, University of Manchester, and Mata Manu, MBChB, FRCS, Specialist Registrar, Hepatobiliary Unit, North Manchester General Hospital NHS Trust, UK

 

 

 
 
 
   
eMedicine Editor: Sat Sharma, MD  
  Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine  


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