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 Indian J Med Microbiol  
 

Figure 3 (A-F): A 64-year-old male patient, inoperable case of GB fossa mass, presented with progressive jaundice and abdominal pain since 3 months. Case describes CAs from both the branches of left hepatic artery (segment 4 artery and segment 2/3 branches). (A) Venous phase CT scan, coronal image showing ill-defined enhancing mass in segment 5 and GB fossa. Rim enhancing lesion in segment VI. (B and C) Arterial phase contrast enhanced CT scan, coronal MIP images showing arterial arcades (small arrows) communicating between LHA (open white arrow) and RHA (Long arrow) and segment 4 artery (thick arrow) and RHA respectively. Significant stenosis of proximal RHA seen (curved arrow). (D and E) Spectral Doppler images showing normal velocity and low RI in intrahepatic branches of RHA and high velocity and normal RI in segment IV artery. (F) Spectral Doppler performed at stenotic proximal RHA showing increased peak systolic velocity (158 cm/sec) with normal RI

Figure 3 (A-F): A 64-year-old male patient, inoperable case of GB fossa mass, presented with progressive jaundice and abdominal pain since 3 months. Case describes CAs from both the branches of left hepatic artery (segment 4 artery and segment 2/3 branches). (A) Venous phase CT scan, coronal image showing ill-defined enhancing mass in segment 5 and GB fossa. Rim enhancing lesion in segment VI. (B and C) Arterial phase contrast enhanced CT scan, coronal MIP images showing arterial arcades (small arrows) communicating between LHA (open white arrow) and RHA (Long arrow) and segment 4 artery (thick arrow) and RHA respectively. Significant stenosis of proximal RHA seen (curved arrow). (D and E) Spectral Doppler images showing normal velocity and low RI in intrahepatic branches of RHA and high velocity and normal RI in segment IV artery. (F) Spectral Doppler performed at stenotic proximal RHA showing increased peak systolic velocity (158 cm/sec) with normal RI