Contrast-Enhanced Ultrasound LI-RADS LR-5 in Hepatic Tuberculosis: Case Report and Literature Review of Imaging Features

Background: The liver is involved in disseminated tuberculosis more than 80% of cases while primary involvement rare, representing <1% all cases. Hepatic (TB) can be treated by conventional anti-TB therapy; however, diagnosing this disease remains a challenge. diagnosis might particularly difficult patients with single lesion that could misdiagnosed as tumor or other focal lesions. Although computed tomography (CT) and magnetic resonance imaging (MRI) findings have been described, there paucity literature on contrast-enhanced ultrasound (CEUS) features hepatic TB. Case Summary: herein, we describe case patient tuberculous lymphadenopathy chronic Hepatitis C Virus (HCV)-related who developed macronodular TB lesion. Due to the finding hepatocellular carcinoma (HCC) highly suggestive CEUS pattern, specifically LR5 category according Liver Imaging Reporting Data System (LI-RADS), good response antitubercular therapy, non-invasive HCC was made, underwent resection. We also review published discuss diagnostic challenge represented when occurs Conclusions: report shows for first time pattern misinterpreted specific are lacking. Personal history epidemiological data mandatory interpreting even HCC.