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Abstract Multi detector computed tomography(MDCT) is very important in detection of extrahepatic metastasis of hepatocellular carcinoma .it has high sensitivity and specificity for detecting hepatic neoplasm and its deposits, while ultrasonography (US) and magnetic resonance imaging (MRI)also have similar accuracy, computed tomographyis preferred because it out-performs ultrasonography and magnetic resonance imaging for evaluating the extra-hepatic abdomen .Other benefits of computed tomography are easy access due to wide availability and patient-friendly protocols allowing even a chest–abdomen–pelvis computed tomography examination in a less then 20-s breath hold using multi-detector computed tomography technology. This study aimed to highlight the role of Multi detector computed tomography (MDCT) in detection of extra-hepatic metastases of hepato-cellular carcinoma. This study included 79 patients with extra-hepatic metastases of hepatocellular carcinoma, they were 63males and 16 females, their ages ranged from 20to 75 years. All patient underwent tri-phasic computed tomography examination for chest-abdomen-pelvis,in these 79 patient 44 patient found with lymph node metastases (55.6%), the lungs metastases found in 12 case represented (15%) of all cases, dissemination through the bone and peritoneum also presented,about7cases (8%) have peritoneal metastases and 10 cases (12.6%) with bone metastases, adrenal gland 3 cases about (3.7%) invasion of portal vein found also in 18 case and hepatic vein in 4 cases and 4 cases invade both. |