Abstract
A 66-year-old male patient who is hepatitis C RNA positive, without cirrhosis, has been found to have a mass on ultrasound examination of the liver. Physical examination is unremarkable. The hemoglobin, white cell count and platelet counts are normal. The alkaline phosphatase is mildly elevated to 212 U/L(normal <115), the AST 112 U/L, and the ALT 128 U/L. The CA 19-9 is 82 U/mL (normal < 55 U/mL) and the alpha fetoprotein 12 ng /mL. A CT scan of the abdomen shows a vague mass in segment V of the liver without definite arterial enhancement. An MRI of the abdomen is carried out with contrast but the mass is still indeterminate on T1 and T2 imaging.
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