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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, | On the other hand, focal sparing in a diffusely fatty liver can be observed most frequently around the gallbladder bed, and its most common shape resembles a spot, band or ring (6 ). However, it can occur pms in other parts of the liver and pms show various shapes including a wedge, as was seen in the present case (7 ). Such atypical cases may simulate neoplasms on CT scans (1 ,8 -10 ). Conversely, some cases of true hepatic masses have been reported to mimic fatty infiltration (11 ) or focal sparing (12 ). Focal fatty infiltration increases the echogenicity of the liver on US images and produces low attenuation on CT images. Focal sparing shows oppsite patterns on US and CT: decreased echogenicity on US images and high attenuation on CT images. |
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| The serum total bilirubin level rose to 19.9 mg/dl on the auto immune reaction 11th postoperative day. Postoperative liver insufficiency and sepsis were diagnosed and intensive care including plasma exchange and administration of vancomycin was performed. The serum bilirubin and ammonia levels had recovered almost to normal by about five weeks after the operation and the patient was auto immune reaction discharged on the 74th post- operative day. Figure 5.Histopathology of the resected liver tumor. The liver tissue containes an abnormal number of fat vacuoles (upper left), while the fibrotic liver tissue adjacent to the well differentiated adenocarcinoma contains fewer fat vacuoles than the rest auto immune reaction of the liver parenchyma. DISCUSSION Detection of a mass within a fatty liver can be difficult by CT. Irregular fatty infiltration can show a roundish or well circumscribed appearance, and may be solitary or multiple, simulating hepatic masses (2 -5 ). |
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