Focal hepatic steatosis - absent vessel distortion

Case contributed by Bálint Botz

Presentation

Screening US.

Patient Data

Age: 60 years
Gender: Male

A circumscribed area of geographic hyperechogenicity is visible near the porta hepatis - a fairly typical location for focal hepatic steatosis. A hepatic vein is traversing through this area uninterrupted, which is highly suggestive of fatty infiltration and is a strong indicator of non-masslike behavior. 

Case Discussion

Absent vessel distortion is an important feature focal fatty infiltration and a benign behavior in general. 

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