Sequential Liver Imaging in the Hypereosinophilic Syndrome: Discordant Images with Scintigraphy, Ultrasound, and Computed Tomography

Hepatic involvement in hypereosinophilic syndrome: value of portal venous phase imaging

“…In our cases, intrahepatic focal lesions were seen on one or three types of images, and the lesions varied relatively on each type of image, and these findings were not different from the other reports [8][9][10]. In regard to varied imaging findings, White et al [8] suggested that hepatic infiltrates of eosinophils are not sufficiently in X-ray attenuation or acoustic impedance to be detectable by CT or US, whereas abnormalities in the function of Kupffer's cells result in abnormal findings on scintigrams. Shiomi et al [9] suggested that the focal defect seen on hepatic scintigrams arose from a circulatary disturbance caused by the eosinophilic infiltration of the periportal area.…”

“…In the liver, histopathologic finding is periportal infiltration by relatively mature eosinophils (2,3,6,7). We have found many reports have dealt with hypereosinophilic syndrome (1)(2)(3)(4)(5)(6)(7), but a few reports of the imaging features associated with hepatic involvement have been published (8,9). Recently Kim et al (10) described US, CT, and scintigraphic findings Correspondence to: S. H. Cha of hepatic involvement.…”

Hepatic involvement in hypereosinophilia: sonographic findings.

“…fuse infiltration of eosinophils, predominantly in the cardiovascular, pulmonary, hematopoietic, and nervous systems. 2,3 Although many reports have been published dealing with clinical and laboratory findings [1][2][3][4][5] or radiographic findings, [6][7][8][9] few reports have provided sonographic findings of hepatic involvement. We describe the sonographic findings of hypereosinophilia in 13 patients with hepatic involvement.…”