Case List History Objectives Radiology Images Questions LIVER Case #4 - A 65 year old with weight loss and anorexia DISCUSSION QUESTIONS: 3.) How would you evaluate the hepatic nodularity in this patient? Evaluation of the patient: Laboratory: liver function tests (increased alkaline phosphatase and AST); alpha-fetoprotein (normal); carcinoembryonic antigen (tumor marker for colon cancer) CT scan with selective arterial infusion via the hepatic artery MRI superior to CT arteriography or CT portography Percutaneous biopsy guided by CT PET Scan to look for extrahepatic disease
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