Diffuse hepatic steatosis

Case contributed by Dr Ammar Haouimi

Presentation

Dyslipidemia.

Patient Data

Age: 45 years
Gender: Female
mri

The liver is moderately enlarged, mildly and diffusely hyperintense on T2, hyperintense on T1 IP with signal drop out on T1 OP in keeping with diffuse hepatic steatosis.

Case Discussion

On IP/OOP imaging, signal loss is demonstrated when there is 10-15% fat fraction with the maximum signal loss occurring when there is 50% fatty infiltration of the liver. The percentage of signal intensity loss >10% is highly specific for steatosis.

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