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Portal architecture: A differential guide to fatty infiltration of the liver on computed tomography

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Abstract

Fatty infiltration of the liver, like fatty lesions elsewhere in the body, typically appears as low-density areas on computed tomography (CT). Fatty infiltration of the liver should be considered in the differential diagnosis of homogeneous lowdensity hepatic lesions regardless of distribution or size. As a physiologic rather than anatomic change, fatty infiltration of the liver characteristically leaves the portal venous architecture unaltered. Although fatty infiltration of the liver typically presents with complete or near complete involvement, other unusual patterns may be encountered. In these atypical cases, recognition of the normal portal structures on CT aids in correct diagnosis.

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References

  1. Friedman AC, Hartman DS, Sherman J, Lautin EM, Goldman M: Computed tomography of abdominal fatty masses.Radiology 139:415–429, 1981

    PubMed  Google Scholar 

  2. Pugatch RD, Faling LJ, Robbins AH, Spira R: CT diagnosis of benign mediastinal abnormalities.AJR 134:685–694, 1980

    PubMed  Google Scholar 

  3. Faer MJ, Burnam RE, Beck CL: Transmural thoracic lipoma: demonstration by computed tomography.AJR 130:161–163, 1978

    PubMed  Google Scholar 

  4. Faerber EN, Wolpert SM: The value of computed tomography in the diagnosis of intracranial lipomata.J Comput Assist Tomogr 2:297–299, 1978

    PubMed  Google Scholar 

  5. Alfidi RJ, Haaga JR, Havrilla TR, Pepe RG, Cook SA: Computed tomography of the liver.AJR 127:69–74, 1976

    PubMed  Google Scholar 

  6. Kollins SA: Computed tomography of the liver, spleen, and pancreas.Semin Roentgenol 13:227–234, 1978

    Article  PubMed  Google Scholar 

  7. Scott WW, Sanders RC, Siegelman SS: Irregular fatty infiltration of the liver: diagnostic dilemmas.AJR 135:67–71, 1980

    PubMed  Google Scholar 

  8. Stephens DH, Sheedy PF, Hattery RR, MacCarty RL: Computed tomography of the liver.AJR 128:579–590, 1977

    PubMed  Google Scholar 

  9. Scherer U, Santos M, Lissner J: CT studies of the liver in vitro: a report on 82 cases with pathological correlation.J Comput Assist Tomogr 3:589–595, 1979

    PubMed  Google Scholar 

  10. Ducommun J-C, Goldberg HI, Korobkin M, Moss AA, Kressel HY: The relation of liver fat to computed tomography numbers: a preliminary experimental study in rabbits.Radiology 130:511–513, 1979

    PubMed  Google Scholar 

  11. Behan M, Kazam E: The echographic characteristics of fatty tissues and tumors.Radiology 129:143–151, 1978

    PubMed  Google Scholar 

  12. Bydder GM, Kreel L, Chapman RWG, Harry D, Sherlock S, Bassan L: Accuracy of computed tomography in diagnosis of fatty liver.Br Med J 281:1042, 1980

    PubMed  Google Scholar 

  13. Williams G, Bydder GM, Kreel L: Computed tomography attenuation values.Br Med Bull 36:219–287, 1980

    Google Scholar 

  14. Leevy CM: Fatty liver: a study of 270 patients with biopsy proven fatty liver and a review of the literature.Medicine 41:249–276, 1962

    PubMed  Google Scholar 

  15. Piekarski J, Goldberg HI, Royal SA, Axel L, Moss AA: Difference between liver and spleen CT numbers in the normal adult: its usefulness in predicting the presence of diffuse liver disease.Radiology 137:727–729, 1980

    PubMed  Google Scholar 

  16. Alpers DH, Isselbacher JK: Fatty liver: biochemical and clinical aspects. In:Diseases of the Liver, 4th ed. Philadelphia: J.B. Lippincott Company, 1975, pp. 815–832

    Google Scholar 

  17. Sheldon GF, Petersen SR, Sander R: Hepatic dysfunction during hyperalimentation.Arch Surg 113:504–508, 1978

    PubMed  Google Scholar 

  18. Stein TP, Buzby GP, Gertner MH, Hargrove WC, Leskiw MJ, Mullen JL: Effect of parenteral nutrition on protein synthesis and liver fat metabolism in man.Am J Physiol 239:280–287, 1980

    Google Scholar 

  19. Shreiner DP, Barlai-Kovach M: Diagnosis of alcoholic cirrhosis with the right-to-left hepatic lobe ratio: concise communication.J Nucl Med 22:116–120, 1981

    PubMed  Google Scholar 

  20. Hahn PF, Donald WD, Grier RD, Jr: The physiological bilaterality of the portal circulation. Streamline flow of blood into the liver as shown by radioactive phosphorus.Am J Physiol 143:105–107, 1945

    Google Scholar 

  21. Mulhern CB, Arger PH, Coleman BG, Stein GN: Nonuniform attenuation in computed tomography study of the cirrhotic liver.Radiology 132:399–402, 1979

    PubMed  Google Scholar 

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Gale, M.E., Gerzof, S.G. & Robbins, A.H. Portal architecture: A differential guide to fatty infiltration of the liver on computed tomography. Gastrointest Radiol 8, 231–236 (1983). https://doi.org/10.1007/BF01948125

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  • DOI: https://doi.org/10.1007/BF01948125

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