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Focal fatty sparing in steatosis hepatis

Case contributed by: Dr Roberto Schubert

Presentation:

Upper abdominal pain, elevated liver enzymes.

Patient Data:

Age: 52
Gender: Male
Race: Middle eastern

CT abdomen

Modality: CT

Pre and post contrast CT through the liver demonstrates a region of apparent hyperattenuation which does not however have mass effect. This is on the back-ground of extensive diffuse hepatic steatosis. 

Case Discussion:

Typical appearances of focal fatty sparing, involving the gallbladder fossa; a typical location. 

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