Student Image Challenge 66

Correct: Liver metastasis

CEUS showed enhancement in the arterial phase and slow wash-out in the late venous phase at the periphery with central necrosis which was suggestive for a malignant pattern. Further investigations revealed the primary tumor in the pancreas and the cytological exam of the EUS-FNA biopsy performed on the pancreatic mass was suggestive for a neuroendocrine tumour.