December 2010

Another incidentally found abnormal liver

Clinical Info

Incidentally found abnormal liver

Ultrasound Images & Clips

Another Incidentally found abnormal liver

Transverse image of the liver. The liver has multiple small hyperechoic lesions
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 with multiple hyperechoic lesions
Another image of the same liver
Another image of the same liver
High frequency image of the lesions
High frequency image of the lesions
CT scan of the liver prior to intravenous contrast
CT scan of the liver after intravenous contrast early (arterial) phase
CT scan of the liver after intravenous contrast portal venous phase. The lesions show no enhancement. This rules out metastases and hemangiomas
The following images also show incidentally found hyperechoic lesions in a 47 year old female
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
High frequency image of another lesion in the same liver
High frequency image of other lesions in the same liver.
Although the lesions are less dense and less numerable than in the first patient. In both cases the diagnosis proved to be the same.
High frequency image of other lesions in the same liver. Although the lesions are less dense and less numerable than in the first patient. In both cases the diagnosis proved to be the same.

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

Created with

  • Hitachi Ultrasound System