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| aegis, total parenteral nutrition, fatty infiltration of liver , hepatic steatosis, auto immune reaction, gabe mirkin, bobby plump , plump princess , merkin, ulcerative colitis, | CASE plump amateur REPORT A 62-year-old, slightly obese man was plump amateur referred to us on April 12, 1996 because of suspected liver metastasis. He had undergone sigmoidectomy for well differentiated adenocarcinoma of the sigmoid colon on September 2, 1993 in our department. Preoperative CT scan and magnetic resonance (MR) imaging in 1993 had shown a slightly fatty liver and no metastasis. According to histological examination of resected specimens of the colon, the tumor had invaded as far as the subserosal layer, and all of 24 extirpated lymph nodes were cancer-free. The patient had been followed up at plump amateur another hospital, and was referred to us because of abnormal CT findings and elevation of the serum CEA level. |
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| The histological findings eventually revealed that the tumor, an adenocarcinoma, was surrounded by fibrotic tissue that mimicked focal sparing. We present the radiological features of this case and discuss how to arrive at a correct diagnosis. Key words: liver - metastasis fatty infiltration - aegis CT aegis - MRI INTRODUCTION Diffuse fatty liver is a well recognized entity that is easily diagnosable by computed tomography (CT) or sonography. Fatty change frequently shows aegis an irregular distribution, most likely reflecting regional differences in perfusion; in areas of decreased portal flow, less fat tends to accumulate than in better-perfused areas (1 ). This condition, called focal sparing, can occur in diverse patterns. Diagnosis of focal hepatic lesions is therefore often difficult in patients with fatty infiltration. We recently experienced a case of metastatic liver tumor masquerading as a wedge-shaped area of focal sparing in a fatty liver. |
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