Case history
An 80-year-old male presented with weight loss. Physical examination detected an enlarged liver. Abdominal CT/MRI revealed: a 9 x 6.5 cm lesion in segment VIII of the right liver lobe, with central necrosis. Additionally, lesions were found in segments III and IVb measuring 3 cm and 4 cm, respectively. Lower pole of the right kidney showed a 1.4 cm lesion and multiple nodular lesions were seen in both lungs. Biopsy of the liver lesion is shown.
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Submitted by Fred Bosman and Grishma Shresta, Patan Academy of Health Sciences, Patan, Nepal
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