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Sarcoidosis, Abdomen and Liver

Ly JL - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Sarcoidosis, Abdomen and Liver

History: Patient with history of thoracic sarcoid presenting with increasing LFTs and pruritis.

Findings: Enlarged liver with nodular and heterogeneous pattern of enhancement. Periportal and retroperitoneal lymphadenopathy. These findings are consistent with abdominal sarcoid in this clinical setting.

Ddx: Metastatic Disease (colon, stonach, pancreas, breast, lung) Lymphoma Other Infiltrative Liver Processes

Dxhow: Biopsy proven

Exam: Evidence of hepatomegaly on physical examination but no palpable focal abdominal mass. Labs notable for nonspecifically and mildly elevated LFTs.

No MeSH data available.


Axial contrast-enhanced CT image in the early phase shows heterogeneous and somewhat nodular enhancement of the enlarged liver, without discreet hepatic mass.  Note the improved visualization of the periportal and retroperitoneal lymphadenopathy with the use of intravenous contrast. The spleen is noted to be surgically absent.
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MPX1568_synpic21208: Axial contrast-enhanced CT image in the early phase shows heterogeneous and somewhat nodular enhancement of the enlarged liver, without discreet hepatic mass. Note the improved visualization of the periportal and retroperitoneal lymphadenopathy with the use of intravenous contrast. The spleen is noted to be surgically absent.


Sarcoidosis, Abdomen and Liver

Ly JL - MedPix

Axial contrast-enhanced CT image in the early phase shows heterogeneous and somewhat nodular enhancement of the enlarged liver, without discreet hepatic mass.  Note the improved visualization of the periportal and retroperitoneal lymphadenopathy with the use of intravenous contrast. The spleen is noted to be surgically absent.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1568&req=5

MPX1568_synpic21208: Axial contrast-enhanced CT image in the early phase shows heterogeneous and somewhat nodular enhancement of the enlarged liver, without discreet hepatic mass. Note the improved visualization of the periportal and retroperitoneal lymphadenopathy with the use of intravenous contrast. The spleen is noted to be surgically absent.

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Sarcoidosis, Abdomen and Liver

History: Patient with history of thoracic sarcoid presenting with increasing LFTs and pruritis.

Findings: Enlarged liver with nodular and heterogeneous pattern of enhancement. Periportal and retroperitoneal lymphadenopathy. These findings are consistent with abdominal sarcoid in this clinical setting.

Ddx: Metastatic Disease (colon, stonach, pancreas, breast, lung) Lymphoma Other Infiltrative Liver Processes

Dxhow: Biopsy proven

Exam: Evidence of hepatomegaly on physical examination but no palpable focal abdominal mass. Labs notable for nonspecifically and mildly elevated LFTs.

No MeSH data available.