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Hepatic fatty infiltration with focal sparing

Boose WDB - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hepatic fatty infiltration with focal sparing

History: This is 51 year old woman with known history of nephrolithiasis and left renal cyst. She was being followed for stones and had long history of abdominal/pelvic CT’s and KUB films.

Findings: Selected Images – CT (contrast, arterial phase) of abdomen/pelvis 1. Large, diffusely infiltrated fatty liver with accessory left lobe. Compare to density of spleen. Multiple areas of focal sparing in left lobe that appears nodular. 2. Area of focal sparing near portal vein. 3. Area focal sparing in left lobe. Renal cyst and renal calculi.

Ddx: Hepatomegaly 1. Metabolic/diffuse infiltration • Fatty infiltration – EtOH, drugs, toxins, Guacher’s • Carbohydrate – diabetes, glycogen storage disease • Iron – hemochromatosis • Amyloid - amyloidosis 2. Tumor 3. Cysts 4. Inflammation/infection 5. Vascular congestion Nodular appearance 1. focal fat infiltration/sparing 2. hepatocellular carcinoma 3. metastases

Dxhow: Radiographically

Exam: Physical Exam - unremarkable Labs: CMP, amylase, Lipase pending

No MeSH data available.


Large, diffusely infiltrated fatty liver with accessory left lobe.  Compare to density of spleen.  Multiple areas of focal sparing in left lobe that appears nodular.
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MPX1056_synpic41083: Large, diffusely infiltrated fatty liver with accessory left lobe. Compare to density of spleen. Multiple areas of focal sparing in left lobe that appears nodular.


Hepatic fatty infiltration with focal sparing

Boose WDB - MedPix (2008)

Large, diffusely infiltrated fatty liver with accessory left lobe.  Compare to density of spleen.  Multiple areas of focal sparing in left lobe that appears nodular.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1056&req=5

MPX1056_synpic41083: Large, diffusely infiltrated fatty liver with accessory left lobe. Compare to density of spleen. Multiple areas of focal sparing in left lobe that appears nodular.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hepatic fatty infiltration with focal sparing

History: This is 51 year old woman with known history of nephrolithiasis and left renal cyst. She was being followed for stones and had long history of abdominal/pelvic CT’s and KUB films.

Findings: Selected Images – CT (contrast, arterial phase) of abdomen/pelvis 1. Large, diffusely infiltrated fatty liver with accessory left lobe. Compare to density of spleen. Multiple areas of focal sparing in left lobe that appears nodular. 2. Area of focal sparing near portal vein. 3. Area focal sparing in left lobe. Renal cyst and renal calculi.

Ddx: Hepatomegaly 1. Metabolic/diffuse infiltration • Fatty infiltration – EtOH, drugs, toxins, Guacher’s • Carbohydrate – diabetes, glycogen storage disease • Iron – hemochromatosis • Amyloid - amyloidosis 2. Tumor 3. Cysts 4. Inflammation/infection 5. Vascular congestion Nodular appearance 1. focal fat infiltration/sparing 2. hepatocellular carcinoma 3. metastases

Dxhow: Radiographically

Exam: Physical Exam - unremarkable Labs: CMP, amylase, Lipase pending

No MeSH data available.