Answer: Given the clinical history of rectal cancer, this lesion should raise concern for a metastasis. Hepatocellularcarcinoma would be less likely in this patient with no history of cirrhosis or other risk factors for a primary hepatic malignancy. A simple cyst would not exhibit vascularity, as this lesion does. A hemangiomawould typically be hyperechoic, unlike the hypoechoiclesion seen here.
What imaging study should be ordered next?
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