Fig. 19

Multiple hypervascular metastases, in a 39-year-old woman with breast cancer. a Pre-contrast, b arterial phase, c PVP, d 3 min, e 5 min, f HCP. Multiple nodular lesions are seen, hyperenhancing in the arterial phase, with washout in the PVP, some with a hypointense necrotic centre (solid arrow). In the HCP, some of these lesions paradoxically uptake Gd-EOB-DTPA in the necrotic centre (thin arrow)