fig6

Figure 6. 48-year-old with HCV cirrhosis status post TARE of right lobe LR 5 HCC (not shown).(A) 3 months post-TARE the treated mass demonstrates areas of necrosis with persistent heterogeneous mass like intralesional APHE (B) and persistent washout (C). Extensive geographic parenchymal APHE (B) which becomes isoenhancing on PV phase of imaging (C), compatible with post-radiation changes, LR-TR equivocal based on LI-RADS TRA v2018. At 12 months post-TARE, the treated HCC is now small and completely necrotic with no areas of APHE (D), LR-TR nonviable. There is extensive radiation fibrosis in the parenchyma.