Pseudolipoma of the Glisson capsule
Last revised by Mostafa Elfeky on 26 Jun 2023
Citation, DOI, disclosures and article data
Citation:
Morgan M, Elfeky M, Knipe H, et al. Pseudolipoma of the Glisson capsule. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-31884
Permalink:
rID:
31884
Article created:
3 Nov 2014,
Matt A. Morgan ◉
Disclosures:
At the time the article was created Matt A. Morgan had no recorded disclosures.
View Matt A. Morgan's current disclosures
Last revised:
26 Jun 2023,
Mostafa Elfeky ◉
Disclosures:
At the time the article was last revised Mostafa Elfeky had no financial relationships to ineligible companies to disclose.
View Mostafa Elfeky's current disclosures
Revisions:
10 times, by
7 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- Pseudolipomas of Glisson's capsule
- Glisson capsule lipoma
- Hepatic pseudolipoma
- Pseudolipomas of the Glisson capsule
- Hepatic pseudolipomas
Pseudolipomas of the Glisson capsule are an uncommon developmental anomaly where a piece of colonic epiploic fat becomes ectopically located within the liver capsule.
Radiographic features
CT
well-circumscribed fat attenuation (-20 to -70 HU) nodule at the liver surface
it can sometimes have soft tissue attenuation and can have a small peripheral calcification 3
MRI
well-circumscribed nodule at the liver surface that follows fat signal intensity on all sequences and suppresses with fat saturation
Differential diagnosis
They might be mistaken by peripheral intra-hepatic fat-containing lesions and, therefore, the differential diagnosis would include:
metastases from lipid-containing tumors like a liposarcoma
Other differentials considerations include:
References
- 1. Prasad S, Wang H, Rosas H et al. Fat-Containing Lesions of the Liver: Radiologic-Pathologic Correlation. Radiographics. 2005;25(2):321-31. doi:10.1148/rg.252045083 - Pubmed
- 2. Podgorska J, Anysz-Grodzicka A, Cieszanowski A. State-Of-The-Art MR Imaging of Fat-Containing Focal Lesions of the Liver. Curr Med Imaging Rev. 2019;15(5):435-42. doi:10.2174/1573405614666171218154838 - Pubmed
- 3. Lee J, Kim S, Kwack S et al. Hepatic Capsular and Subcapsular Pathologic Conditions: Demonstration with CT and MR Imaging. Radiographics. 2008;28(5):1307-23. doi:10.1148/rg.285075089 - Pubmed
- 4. Peltier J, Demuynck F, Fichten A et al. Non-Traumatic Pseudocyst of Glisson Capsule Complicating a Ventriculoperitoneal Shunt. Neurochirurgie. 2011;57(1):31-3. doi:10.1016/j.neuchi.2009.11.004 - Pubmed
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