Gadoxetic acid-enhanced MRI of macrotrabecular-massive hepatocellular carcinoma and its prognostic implications

•Macrotrabecular-massive hepatocellular carcinoma (MTM-HCC) is an aggressive subtype of HCC.•We revealed gadoxetic acid-enhanced MRI findings related to MTM-HCC.•Using MRI findings, we could non-invasively stratify the probability of MTM-HCC.•HCC without an arterial phase hypovascular component is highly unlikely to be MTM-HCC.•MRI findings of MTM-HCC could be a useful prognostic factor after surgical resection.