Geographic steatosis mimicking a mass

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Ultrasound performed for mildly elevated liver enzymes.

Patient Data

Age: 65 years
Gender: Male
Ultrasound

Irregular area of hypoechogenicity in the liver without mass effect, likely geographic steatosis.. Recommend MRI for confirmation.

MRI confirms the sonogram findings of no mass effect and focal fatty sparing appearing as a pseudolesion.

Case Discussion

Look for mass effect and any vascular compromise when viewing a sonogram for lesion vs pseudolesion. MRI is useful to assess whether there is truly a mass or mass effect. In this case, the patient can be told to undertake lifestyle changes for steatosis and that no further workup is necessary.

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Case information

rID: 68469
Published: 12th Jun 2019
Last edited: 12th Jun 2019
Inclusion in quiz mode: Included
Institution: Augusta University

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