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. 1993 Jan;75(1):43–45.

Hepatic 'pseudotumours': an important diagnostic pitfall.

M W Scriven 1, A Shandall 1, E J Fitzgerald 1, M C Puntis 1
PMCID: PMC2497735  PMID: 8422144

Abstract

Hepatic 'pseudotumours' are radiological abnormalities which give the appearance of tumour. They may be focal areas of disease such as fatty infiltration or areas of focal sparing in diffuse processes. We present four cases of hepatic 'pseudotumours' due to diffuse fatty infiltration with focal sparing and emphasise the need for further radiological assessment of focal lesions found on ultrasound scanning. Measurement of CT attenuation allows a confident diagnosis of fatty infiltration with focal sparing, thus preventing unnecessary investigation. Other forms of hepatic pseudotumour may require further investigation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allaway S. L., Ritchie C. D., Robinson D., Seear T., Reznek R., Fry I. K., Thompson G. R. Detection of alcohol-induced fatty liver by computerized tomography. J R Soc Med. 1988 Mar;81(3):149–151. doi: 10.1177/014107688808100310. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brawer M. K., Austin G. E., Lewin K. J. Focal fatty change of the liver, a hitherto poorly recognized entity. Gastroenterology. 1980 Feb;78(2):247–252. [PubMed] [Google Scholar]
  3. Bydder G. M., Kreel L., Chapman R. W., Harry D., Sherlock S., Bassan L. Accuracy of computed tomography in diagnosis of fatty liver. Br Med J. 1980 Oct 18;281(6247):1042–1042. doi: 10.1136/bmj.281.6247.1042. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Clain J. E., Stephens D. H., Charboneau J. W. Ultrasonography and computed tomography in focal fatty liver. Report of two cases with special emphasis on changing appearances over time. Gastroenterology. 1984 Oct;87(4):948–952. [PubMed] [Google Scholar]
  5. Jackson R. B., Gatling R. R. Inflammatory pseudotumor of the liver. Surgery. 1991 Mar;109(3 Pt 1):329–332. [PubMed] [Google Scholar]
  6. Kissin C. M., Bellamy E. A., Cosgrove D. O., Slack N., Husband J. E. Focal sparing in fatty infiltration of the liver. Br J Radiol. 1986 Jan;59(697):25–28. doi: 10.1259/0007-1285-59-697-25. [DOI] [PubMed] [Google Scholar]
  7. Marchal G., Tshibwabwa-Tumba E., Verbeken E., Van Roost W., Van Steenbergen W., Baert A., Lauwerijns J. "Skip areas" in hepatic steatosis: a sonographic-angiographic study. Gastrointest Radiol. 1986;11(2):151–157. doi: 10.1007/BF02035058. [DOI] [PubMed] [Google Scholar]
  8. Piekarski J., Goldberg H. I., Royal S. A., Axel L., Moss A. A. Difference between liver and spleen CT numbers in the normal adult: its usefulness in predicting the presence of diffuse liver disease. Radiology. 1980 Dec;137(3):727–729. doi: 10.1148/radiology.137.3.6934563. [DOI] [PubMed] [Google Scholar]
  9. Scott W. W., Jr, Sanders R. C., Siegelman S. S. Irregular fatty infiltration of the liver: diagnostic dilemmas. AJR Am J Roentgenol. 1980 Jul;135(1):67–71. doi: 10.2214/ajr.135.1.67. [DOI] [PubMed] [Google Scholar]
  10. Stanley R. J., Sagel S. S., Levitt R. G. Computed tomography of the liver. Radiol Clin North Am. 1977 Dec;15(3):331–348. [PubMed] [Google Scholar]

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