Hepatic Encephalopathy in Patient With History of Alcohol Abuse

March 20, 2015
Aaron Falchook, MD
Aaron Falchook, MD

Imaging on a 60-year-old man demonstrates multiple bony lesions in the spine that could indicate metastatic liver cancer. What is the best diagnostic tool to confirm the diagnosis?

A 60-year-old man with a history of heavy alcohol abuse presents with ascites, jaundice, hepatic encephalopathy, and back pain after a recent fall. Imaging demonstrates multiple bony lesions in the spine that could indicate metastatic hepatocellular carcinoma (HCC).

What is the best diagnostic tool to confirm the diagnosis of HCC?