A giant calcified hepatic mass.

A 69-year-old man with an history of liver cirrhosis complicated by hepatocellular carcinoma treated by chemoembolization, moderate mitral insufficiency and chronic atrial fibrillation presented with a rounded calcified opacity in right upper abdomen at chest radiography. Abdominal computed tomography scan showed an omogeneous and complete uptake of lipiodol within the hepatocellular carcinoma, without signs of viable tumor tissue. Since lipiodol is radiopaque when intensely concentrated within liver nodules, it can appear as calcification on abdominal or even thoracic plain-film radiograph, as in this case. The differential diagnosis of calcified hepatic lesions includes tubercular granuloma, Echinococcus cyst, large hemangioma, hepatocellular adenoma, fibrolamellar carcinoma, intrahepatic cholangiocarcinoma, and liver metastases.