Nutmeg liver

Last revised by Mina Sameh Rizk on 21 Jul 2023

Citation, DOI, disclosures and article data

Citation:

D'Souza D, Rizk M, Skalina T, et al. Nutmeg liver. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-1746

DOI:

https://doi.org/10.53347/rID-1746

Permalink:

https://radiopaedia.org/articles/1746

rID:

1746

Article created:

2 May 2008, Donna D'Souza

Disclosures:

At the time the article was created Donna D'Souza had no recorded disclosures.

View Donna D'Souza's current disclosures

Last revised:

21 Jul 2023, Mina Sameh Rizk

Disclosures:

At the time the article was last revised Mina Sameh Rizk had no financial relationships to ineligible companies to disclose.

View Mina Sameh Rizk's current disclosures

Revisions:

17 times, by 11 contributors - see full revision history and disclosures

Systems:

Hepatobiliary

Sections:

Signs

Tags:

refs

Synonyms:

Nutmeg type liver
Nutmeg hepatic appearance

A nutmeg liver appearance is due to a perfusion abnormality of the liver usually as result of hepatic venous congestion. When hepatic veins are congested, contrast is prevented from diffusing through the liver in a normal manner. This results in a mottled pattern of contrast enhancement in the arterial and early portal venous phases with decreased enhancement of the liver periphery. The areas of decreased enhancement represent decreased portal flow, hepatic congestion and ischemia. On delayed images parenchymal enhancement becomes more uniform.

Conditions associated with hepatic venous congestion include:

hepatic veno-occlusive disease
Budd-Chiari syndrome (the caudate lobe may enhance normally as it has a separate draining vein directly into the IVC)
congestive hepatopathy

References

Incoming Links

Promoted articles (advertising)

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":59311455,"studyId":125013,"caseSlug":"chronic-congestion-nutmeg-liver-gross-pathology","caption":"Fig 1: pathology specimen","thumbnail":"https://prod-images-static.radiopaedia.org/images/59311455/ce52a3751c5dc74804c9877409503db2a7fd184828dac4b143331ea807942598_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":4651,"studyId":37613,"caseSlug":"nutmeg-liver","caption":"Case 1","thumbnail":"https://prod-images-static.radiopaedia.org/images/4651/bd489e51a122e624c7a235e3fb1a99_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":3328831,"studyId":22904,"caseSlug":"nutmeg-appearance-of-the-liver","caption":"Case 2","thumbnail":"https://prod-images-static.radiopaedia.org/images/3328831/4fa1ec4380876a3297d77daba37726_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":3420403,"studyId":23103,"caseSlug":"budd-chiari-syndrome-1","caption":"Case 3","thumbnail":"https://prod-images-static.radiopaedia.org/images/3420403/6000d864cc8c1905097d955ad667b3_big_gallery.jpg","isStack":true,"diagnosticCertainty":"probable"},{"imageId":26968009,"studyId":55246,"caseSlug":"nutmeg-liver-3","caption":"Case 4","thumbnail":"https://prod-images-static.radiopaedia.org/images/26968009/030a2264321644f689fdc6ba83e0ed_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":38921618,"studyId":67981,"caseSlug":"aggressive-lung-cancer-with-cardiac-metastases-pulmonary-artery-tumor-thrombus-and-budd-chiari","caption":"Case 5","thumbnail":"https://prod-images-static.radiopaedia.org/images/38921618/73178155dacfab03c80abdb2f25c6a_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"probable"},{"imageId":43202988,"studyId":72580,"caseSlug":"nutmeg-liver-6","caption":"Case 6","thumbnail":"https://prod-images-static.radiopaedia.org/images/43202988/388c1d3ada2781c7354041daf537c7_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52781424,"studyId":90979,"caseSlug":"massive-pericardial-effusion-nutmeg-liver","caption":"Case 7","thumbnail":"https://prod-images-static.radiopaedia.org/images/52781424/c4da9d8d1a0f5b57521d7fcb20b0e6_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":62851828,"studyId":138886,"caseSlug":"budd-chiari-syndrome-17","caption":"Case 8: Budd-Chiari syndrome","thumbnail":"https://prod-images-static.radiopaedia.org/images/62851828/3b3f9135266d86f0ed6355043c13941727a63091937f2d01229dac61d91a4a91_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"}],"ddx_inclusions":[],"lang":"us"}