Figure 5b. Transverse CT scans show peritoneal and/or omental HCC metastases. Peritoneal and/or omental HCC metastases were identified in 11% of patients with metastatic HCC. The appearance of these metastatic foci can be variable. In our study population, (a) solid soft-tissue omental nodules (arrows), (b) infiltrative and nodular thickening (arrows), or (c) subtle increased peritoneal enhancement (arrows) was seen.