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View larger version (135K): [in this window] [in a new window] Fig. 3D. —54-year-old woman with metastatic liver tumors from gastric carcinoma and peritumoral fatty infiltration. Image from single-level dynamic CT during hepatic arteriography obtained 20 sec after contrast administration shows rim enhancement corresponding to peritumoral fatty infiltration. The patient refused needle biopsy, and the diagnosis of metastatic liver tumor from gastric carcinoma was established clinically. The patient aids began arterial hepatic infusion aids chemotherapy, but on 6-month follow-up CT, the size of tumors had increased, and both the aids diffuse fatty infiltration and the peritumoral hypoattenuating bands had disappeared. The patient died of tumor progression 17 months after the discovery of the liver metastases. Locally decreased portal blood flow causes focal fatty liver infiltration in some cases [1, 2] and focal sparing of normal parenchyma by fatty infiltration in others [3, 4].
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