Figure 1c. Images in a 72-year-old woman with epigastric pain. (a) Resected specimen shows multiple tumor nodules in the periphery of the rim (white arrows) and a central area of tumor with necrosis and fibrosis (black arrows). (b) Transverse US image of the spleen shows a solitary mass (5 x 6 cm) with an echogenic rim (arrow) and a hypoechoic center (arrowhead). Doppler results showed this rim to be hypervascular. (c) Transverse contrast-enhanced early portal venous phase CT scan shows a solitary 6-cm mass with contrast enhancement in the rim (white arrow) and decreased attenuation in the center (arrowhead). Two enhancing masses (black arrows) are seen in the liver.