患者男,72岁。体检发现右肝占位1周来我院就诊,既往无肝病病史,饮酒史30余年。超声检查显示:肝Ⅴ~Ⅷ段实质内见一偏高回声肿块,大小约10.2cm×8.3cm×8.8cm,边界可辨,内回声不均,CDFI示:其内可见条状血流信号(图1)。超声造影示肿块整体呈快进快出灌注模式,提示考虑原发性肝癌(图2)。肝脏增强MRI示:肝Ⅴ~Ⅷ段内见一巨大略长T1略长T2信号肿块影,弥散受限,边界尚 Male patient, 72 years old. Physical examination found that the right liver occupies 1 week to our hospital, past no history of liver disease, alcohol consumption more than 30 years. Ultrasonography showed: liver Ⅴ ~ Ⅷ section see a partial high echo mass, the size of about 10.2cm × 8.3cm × 8.8cm, the boundary is discernable, the echo is not uniform, CDFI shows: the visible strip of blood flow signal ( figure 1). Ultrasonography showed the mass as a whole showed a fast-forward rapid perfusion pattern, suggesting that primary hepatocellular carcinoma (Figure 2) was considered. Liver enhancement MRI showed: liver Ⅴ ~ Ⅷ segment see a slightly larger than the length of T1 slightly longer T2 signal mass shadow, diffusion is limited, the border is still