Perivascular fatty infiltration of nonalcoholic fatty liver disease jejunoileal bypass

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Perivascular fatty infiltration of the liver was defined as a clear predisposition to fat accumulation jejunoileal bypass around hepatic veins jejunoileal bypass and/or portal tracts. For multiphase CT images, the jejunoileal bypass contrast-to-noise ratio was calculated for comparison of spared liver with fatty liver in each imaging phase. RESULTS: Fatty infiltration surrounded hepatic veins in three, portal tracts in five, and both hepatic veins and portal tracts in two patients. Six of the 10 patients had alcoholic cirrhosis, two reported regular alcohol consumption (one of whom had acquired immunodeficiency syndrome and hepatitis B), one was positive for human immunodeficiency virus, and one had no risk factors for fatty infiltration of the liver. In three of the 10 patients, fatty infiltration was misdiagnosed as vascular or neoplastic disease on initial CT images but was correctly diagnosed on MR images. CONCLUSION: Perivascular fatty infiltration of the liver has imaging features that allow its recognition.
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