Hepatic granulomas

Case contributed by Dr Alexandra Stanislavsky
CT

Case Discussion

Reformatted image from a CT cholangiogram demonstrates multiple small hepatic calcifications around a normal biliary tree (giving the appearance of a biliary tree in blossom!).  

Such calcifications are typical for healed granulomas.  The most common cause of calcified granulomas is previous tuberculosis.  Other differentials include histoplasmosis and less commonly, brucellosis or coccidioidomycosis.

Cholecystectomy clips also present.

PlayAdd to Share

Case information

rID: 12570
Case created: 17th Dec 2010
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.