December 2010

Another incidentally found abnormal liver

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Clinical information

Incidentally found abnormal liver

Ultrasound Images & Clips

Another Incidentally found abnormal liver

Transverse image of the liver. The liver has multiple small hyperechoic lesions

Another image of the same liver with multiple hyperechoic lesions

Another image of the same liver

High frequency image of the lesions

CT scan of the liver prior to intravenous contrast

CT scan of the liver after intravenous contrast early phase

CT scan of the liver after intravenous contrast late phase

The following images also show incidentally found hyperechoic lesions in a 47 year old female

High frequency image of another lesion in the same liver

Conclusion

The multiple small hyperechoic lesions proved to be focal fatty changes. Fatty changes in the liver can have many appearences. Focal areas of increased echogencity are not uncommon, but multiple well defined round lesions as in these two cases are less common. The differential diagnosis should include hemangiomas and metastases. CT and MRI can be helpful especially in excluding hemangiomas and metastases, but in some cases a liver biopsy is indicated

Details

Sex: Female
Age: 44

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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