Hepatic metastasis disguised as fat spared area in the background of fatty liver: Detection on FDG PET/CT

Puranik, Ameya; Purandare, Nilendu; Agrawal, Archi; Shah, Sneha; Rangarajan, Venkatesh

doi:10.4103/0972-3919.118263

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“…Fatty liver affects usually the liver in a homogeneous way (68%). Thus, it appears hyperechoic on ultrasonography, hypodense on non contrast enhanced CT images, hypointense on opposed phase T1 weighted MRI and on fat suppressed MRI sequence [ 9 , 10 ]. The diagnostic problem occurs when the fatty infiltration is not diffuse.…”

Section: Discussionmentioning

confidence: 99%

Multifocal Nodular Lesions in Fatty Liver Mimicking Neoplastic Disease: a Case Report

et al. 2023

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Usually, fatty hepatic infiltration is diffuse and homogeneous. However, in some cases, it can be localized simulating benign or malignant tumors. We present a case of a 61-year-old female patient with family history of malignancy: sister with lung cancer, an other sister with colon cancer and a mother with breast cancer; who presented with multiple hepatic nodules at the ultrasonography images. CT scan and MRI were not sufficient to pose a certain diagnosis which was later confirmed by liver biopsy.

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Section: Discussionmentioning

confidence: 99%