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Masayuki Kanematsu2, Daizo Fukada1, Kiichi Miya1, Takao Umemoto1, Katsuyuki Kunieda1, fat girls com Yasuyuki Sugiyama1, Ikuhide Kuwahara1 and Kuniyasu Shimokawa3 1Second Department of Surgery, 2Department of Radiology and 3Department fat girls com of Pathology, Gifu University School of Medicine, Gifu, Japan Focal sparing in diffusely fatty liver is a well recognized entity. However, it occasionally creates fat girls com some problems in the diagnosis of hepatic mass lesions. We recently experienced a case of liver metastasis from colon cancer which appeared as a wedge-shaped hyperdense area on non-enhanced CT (computed tomography). Other imaging techniques also demonstrated a wedge-shaped area which was difficult to distinguish from mere focal sparing in the fatty liver. CT arteriography and dynamic magnetic resonance images were useful for diagnosing this metastatic tumor. CT during arterial portography showed a wedge-shaped ischemic area in the anterior segment caused by intrahepatic portal vein blockade.
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