Focal fatty sparing of the liver

Case contributed by Naim Qaqish
Diagnosis certain

Presentation

Abdominal pain

Patient Data

Age: 30 years
Gender: Female
ultrasound

The liver is enlarged, measuring about 18 cm-length and shows severe fatty infiltration with sparing areas near the porta-hepatis.

Case Discussion

There are typical hypoechoic areas with geographic appearance near the porta hepatis, with absent mass effect and distortion of vessels that run through the region. The reporter may believe these areas to abnormal, however, regions of focal sparing may be seen around focal liver lesions.

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