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Hepatocellular carcinoma bone metastases

Imaging findings

Chest CT and radiographs show a destructive, hypervascular expansile mass centered on the spine with epidural extension into the spinal canal, and another large expansile lytic lesion involving the right 10th rib, in a patient with hepatocellular carcinoma.

Key takeaways

Bone metastases from hepatocellular carcinoma are typically osteolytic, expansile, and highly hypervascular. They can cause significant destructive changes and spinal canal compression, presenting with neurological symptoms or back pain.

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