Abstract
Rarely, hepatic metastases can simulate hepatic infiltrative diseases. We present a case of a patient with advanced metastatic renal cell carcinoma who developed hepatomegaly and clinical signs of hepatocellular injury. On magnetic resonance imaging, the injury simulated a diffuse process, e.g., acute fulminant viral or chemical hepatitis or drug toxicity. Despite its high resolution, magnetic resonance imaging might not depict focal lesions in patients with extensive metastases. In correlation with clinical history, malignant disease should be considered when diffusely abnormal hepatic signal intensity is noted.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 2 April 2001/Revision accepted: 21 April 2001
Rights and permissions
About this article
Cite this article
Nascimento, A., Mitchell, D., Rubin, R. et al. Sinusoidal spread of liver metastases from renal cell carcinoma: simulation of diffuse liver disease on MR imaging. Abdom Imaging 27, 196–198 (2002). https://doi.org/10.1007/s00261-001-0065-0
Issue Date:
DOI: https://doi.org/10.1007/s00261-001-0065-0