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The remaining two cases showed initial hyper enhancement followed by rapid depletion of contrast agent then stabilization near to parenchyma values.
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TCC is typically a hypo-enhancing mass, although focal hyper-enhancement may occur.
Axial contrast-enhanced CT image demonstrates hyper-enhancement of the right lower quadrant ileal mucosa (arrow) secondary to superior mesenteric artery occlusion (not shown).
HCC typically shows [25, 32, 51, 52, 53, 54, 55, 56, 57] arterial-phase hyper-enhancement followed by late and mild washout on dynamic contrast-enhanced imaging.
Contrast-enhanced axial CT image demonstrates diffuse bowel wall thickening with mural hyper-enhancement.
Open image in new window Fig. 5 Hyper-enhancement of the bowel mucosa.
b Iodine-based image, showing HCC with a typical hyper-enhancement in arterial phase.
In the LGE image, hyper-enhancement is apparent in chronic scar (a, white arrows).
Eighty percent of the time it is isodense to liver parenchyma on the portal venous phase and shows delayed-phase hyper-enhancement like other fibrotic liver lesions.
a The nephrographic phase of the axial CE-CT demonstrates a left renal mass consisting of two distinct areas of relative hyper-enhancement (arrow) and hypo-enhancement.
MRI using liver-specific contrast agent is useful for characterising FNH-like nodules by demonstrating iso- or hyper-enhancement in the hepatobiliary phase.
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