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Kim 2 and Kirti Shetty 4 , (1)University of Maryland Medical Center Midtown Campus, (2)University of Maryland Medical Center, (3)University of Maryland Medical Center Baltimore, Baltimore, MD, (4)Department of Hepatology and Liver Transplantation, the University of Maryland, School of Medicine, Baltimore, MD, USA Background: The characteristic imaging appearance of hepatocellular carcinoma (HCC) usually obviates the need for tissue diagnosis