Agenesis of the right hepatic lobe

Last revised by Daniel J Bell on 12 Jun 2020

Agenesis of the right hepatic lobe is a rare variation in liver anatomy.

Radiographic features

  • absence of the right hepatic lobe
    • absence of right hepatic artery, right portal vein, and right hepatic biliary system
  • compensatory hypertrophy of the left hepatic lobe and caudate lobe
  • possible retrohepatic gallbladder

Differential diagnosis

  • hepatectomy (look for postsurgical change)
  • severe hypoplasia/atrophy of the right hepatic lobe: right lobe structures will still be present

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