fig2

Figure 2. Computed tomography of a cirrhotic patient demonstrated a single nodule of 1.8 cm located in the liver segment VI, with typical features of hepatocellular carcinoma according to the EASL guideline: hyperenhancement in the arterial phase (A) coupled with wash-out of contrast media in the delayed phase (B). The lesion, due to its deep location, in close proximity to inferior vena cava and almost adhering to the right portal branch, was scheduled for cTACE. The angiographic study in the parenchymal phase showed the hypervascular nodule [arrow in (C)]. The image in (D) proved the end of cTACE, with occlusion of the tumor feeding vessels and the patency of the remaining hepatic arteries. The images in (C, D) are Dicom images, reporting in the top portion, the date and time at which those images were taken. It is possible to note that the procedural time, in this case, was 38 min.