Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [asymptomatic incidental finding / RUQ discomfort / constitutional symptoms]. Imaging (CT/MRI) reveals multifocal hepatic nodules with characteristic peripheral enhancement and "lollipop sign" (vessel tethering). No history of chronic liver disease or cirrhosis. Labs show [normal/elevated] LFTs.
Clinical Examination Findings
Abdominal examination: [Soft/distended], [non-tender/tender] to palpation in RUQ. Hepatomegaly noted with [smooth/nodular] edge. No clinical signs of portal hypertension (ascites, splenomegaly, caput medusae). Cardiovascular exam: [Normal/S1S2 regular]. ECOG performance status: [0-4].
Treatment Protocol
Management plan: Multidisciplinary tumor board review. Options discussed: [Observation for stable disease / Surgical resection / Liver transplantation / Systemic therapy (e.g., Sirolimus, Interferon, or Chemotherapy)]. Serial imaging scheduled every [3-6] months to monitor lesion progression.