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Case 104: Liver lesion

A 52 year old woman with a history of hepatitis C and alcohol abuse presents with a rising alpha foetoprotein. Conventional imaging has failed to detect an abnormality.

Image provided by Dr Tom Sutherland - Radiology registrar, St Vincent's Hospital, Melbourne, Australia

1. What is the study and the diagnosis?

2. What is the anatomic basis for performing this study?