PT  - JOURNAL ARTICLE
AU  - Lorenzo Mannelli
AU  - Serena Monti
AU  - Verena Grieco
AU  - Manuela Matesan
TI  - Hepatic Lesions in a Cirrhotic Liver: Primary or Metastases?
AID  - 10.2967/jnmt.116.183228
DP  - 2017 Mar 01
TA  - Journal of Nuclear Medicine Technology
PG  - 50--52
VI  - 45
IP  - 1
4099  - http://tech.snmjournals.org/content/45/1/50.short
4100  - http://tech.snmjournals.org/content/45/1/50.full
SO  - J. Nucl. Med. Technol.2017 Mar 01; 45
AB  - Although prior studies showed that patients with cirrhosis have a lower risk of developing liver metastases, appropriate workup of incidental liver masses in cirrhotic liver is important for a correct diagnosis. Here we present a case of newly diagnosed liver cirrhosis with multifocal hepatic lesions, which was initially categorized as a LI-RADS (Liver Imaging Reporting and Data System) 5 lesions. Scintigraphy with 111In-pentetreotide (Octreoscan) indicated a suspected thyroid nodule, later confirmed to represent medullary thyroid carcinoma lesion. The most relevant imaging finding of this rare form of thyroid malignancy is reviewed in this presentation.