Hepatobiliary Phase Hypointense Cirrhotic Nodules without Arterial Hypervascularity: What to do?

HCC shows nodular enhancement in arterial phase, washout in portal venous phase and hypointensity in hepatobiliary phase as malignant cells of HCC cannot retain hepatobiliary contrast agents. But what about the nodules that are hypointense in hepatobiliary phase but show no arterial phase hyperenhancement? How many of them are HCCs? Is there a way we …

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