Fig. 1

Computed Tomography. a Initial CT scout image and b CT scout image five weeks later showed a large mass with calcifications in the left abdomen on the initial scan and in the right abdomen five weeks later. Coronal reconstructions of c non-contrast scan and d 1-min delayed scan after contrast show the teratoma (T) as predominantly soft tissue density with areas of fat and dense calcification. The right uterine horn (R) is partially shown but could be traced from the body of the uterus (U) to the teratoma while the left uterine horn (L) is coiled in the caudal abdomen or pelvis. Two hepatocellular carcinomas (HCC) are shown: a 5.8 cm HCC in the left medial lobe with heterogenous enhancement and necrotic regions on this delayed image and a 3.3 cm HCC in the left lateral lobe