On admission, his general fatty ratty total parenteral nutrition

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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, (LAP) and gamma-glutamyltranspeptidase ([gamma]-GTP) were all within the normal ranges. The serum albumin fatty ratty level was 3.2 g/dl (normally 3.9-4.9 g/dl) and the cholinesterase level 108 IU/l (185-430 IU/l). The fatty ratty CEA level was 15.1 ng/ml and the cancer antigen 19-9 (CA19-9) level fatty ratty 167.4 U/ml. A chest X-ray on admission showed no abnormality. Non-enhanced CT demonstrated a fatty liver associated with a wedge-shaped hyperdense area which occupied almost all of the anterior segment of the right lobe (Fig. 1 ); enhanced CT was not done. On sonography, the entire liver showed increased echogenicity, suggestive of fat deposition. An elliptical mass surrounded by a halo was seen in the anterior segment of the right lobe, and its internal echogenicity was irregular (Fig. 2 ). In terms of the abnormal finding in the anterior segment, non-enhanced CT suggested focal sparing and sonography suggested a metastatic tumor.
On admission, his general condition was good. The heart and lungs were clear to auscultation and palpation of the liver revealed no abnormality. A full blood count on admission showed total parenteral nutrition normal values. Serum electrolytes, blood urea nitrogen, creatinine, glucose, total bilirubin, alkaline phosphatase, aspartate aminotransferase (AST), alanine aminotransferase (ALT), leucine Figure 1.Non-enhanced CT on admission in 1996, showing a wedge-shaped hyperdense area in the anterior segment of the right total parenteral nutrition lobe. Figure 2.Sonography shows an elliptical mass surrounded by a halo, total parenteral nutrition indicated by the white wedges, in the anterior segment of the right lobe; its internal echogenicity is irregular.aminopeptidase
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