Fig. 4
Metastatic ILC of the liver mimicking hepatic fibrosis in a 55-year-old female who presented with jaundice. She had a remote history of Stage 3C ILC more than 10 years ago. a Axial, fat-saturated, T2-weighted MR image and b diffusion-weighted image (b = 500 s/mm2) do not show any discrete hepatic lesion. The hepatic outline is smooth, with no morphological features of cirrhosis. Ascites is present (arrow). Bone metastases are also noted (arrowheads). c Wave images from the MR elastography acquisition at 60 Hz show shear waves with prolonged wavelength. d MR elastogram demonstrates severely increased mean shear stiffness in the liver, with corresponding quantitative color scale on the left of the image. Mean stiffness value is 15.6 kPa (normal < 2.93 kPa), in keeping with F4 fibrosis. The diagnosis of infiltrative metastatic ILC was confirmed on percutaneous liver biopsy