January 2016

Abnormal liver

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Clinical information

Weight loss and cachexia the liver is palpable

Ultrasound Images & Clips

Abnormal liver

Abnormal liver with large hypoechoic periportal and perhepatic mass

The portal vein is patent

The mass extends around the liver

Another image of the perihepatic mass and a few abnormal lymph nodes

The mass is located at the periphery of the lever

The hypo echoic mass also extends around the gallbladder The gallbladder is filled with sludge

Another image of the abnormal gallbladder with surrounding mass

This is an image of the liver of a 46 year old female patient with abnormal liver function tests

There are hypoechoic lesions scattered throughout the liver

Another image of the left liver lobe

CT scan. In the spleen is a benign cyst

Conclusion

Both patients had biopsy proven non Hodgkin's disease in and around the liver. The first patient had a lymphoma with mainly perportal and perhepatic masses. The second patient had a diffuse abnormal liver filled with tiny lesions. Lymphoma of the liver usually has larger hypoechoic intrahepatic lesions, but the aspect can vary. The aspect is usually hyoechoic.

Details

Sex: Male
Age: 81
Body part: Liver

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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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