Fig. 2.
A 17-year-old man (case 2) presented with swelling of the upper and lower extremities. White blood cell count was 34,700/mm3, with 72% eosinophilia.
A, B. CT scan obtained conventionally, during the portal venous phase, shows peripheral low attenuation with an irregular, ragged margin along the subcapsular area of the right hepatic lobe. Note the two small splenic lesions (B) (arrows). The hepatic parenchyma adjacent to the low attenuated lesion is slightly higher in attenuation. The liver is moderately enlarged. Liver biopsy revealed severe infiltration of the periportal area and central veins by eosinophils, as well as hepatic parenchymal infarction (not shown).