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Open Access Publications from the University of California
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Articles

Watershed Infarctions and Hypereosinophilic Syndrome Secondary to Metastatic Lung Cancer: A Case Report

Watershed infarcts are traditionally attributed to ischemia caused by hypoperfusion, with or without vessel stenosis. Implicated diseases usually include atherosclerosis, congestive heart failure, hypotension, angiitis, and less commonly, sickle cell disease. In this report, we present an uncommon case of diffuse watershed infarctions possibly caused by reactive (secondary) hypereosinophilic syndrome. We also discuss the definition and causes of hypereosinophilic syndrome and its neuroradiologic manifestations.

Atypical Clinical and Imaging Presentation of a Large, Well-differentiated Hepatocellular Carcinoma: A Case Report

Hepatocellular carcinoma is the most common primary neoplasm of the liver that typically occurs in the setting of chronic liver disease. In this case report, we present an atypical case of well-differentiated hepatocellular carcinoma, which was detected in a 43-year-old man with no known symptoms of liver disease. We review the imaging features of the mass, which did not follow typical enhancement characteristics defined by the Liver Imaging Reporting and Data System criteria. The diagnosis was ultimately confirmed by histologic analysis of a surgically resected specimen.