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The imaging criterion for focal fatty infiltration of the liver on helical CT was a geometric or ovoid low-attenuation steatosis area adjacent to the falciform ligament, gallbladder fossa, or porta hepatis. If a steatosis patient's findings met the CT criterion for focal fatty infiltration of the liver, all previous abdominal steatosis CT and MR imaging examinations performed for that patient were reviewed to assess the evolution of focal fatty infiltration of the liver. RESULTS. Of 218 children and young adults, 20 (9.2%) met the CT criterion for focal fatty infiltration of the liver. In our population, focal fatty infiltration of the liver was identified only adjacent to the falciform ligament. The prevalence of focal fatty infiltration of the liver increased significantly with advancing age: 0% for ages 1 month—4 years; 7.3% for 5-9 years; 10.2% for 10-14 years, and 25.6% for 15-19 years (p < 0.0001). CONCLUSION. Focal fatty infiltration of the liver was identified in 9.2% of patients in our population, and occurrence of this lesion in children increases significantly with advancing age.
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