Fig. 11
CEUS LI-RADS M (probably or definitely malignant but not HCC specific) nodule. Metastasis in a 32-year-old woman with virus B-related cirrhosis. Baseline US image (a) shows a hypoechoic lesion with not well-defined margins sized 5 cm in the segment IV (calipers). At CEUS, the lesion is heterogeneously vascularized during the arterial phase (b) (arrow) showing early wash-out: 34 s after contrast medium injection (c) (arrow)