Hepatic granulomas

Case contributed by Dr Alexandra Stanislavsky

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!).  Cholecystectomy clips also present.

Case Discussion

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.

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Case information

rID: 12570
Published: 17th Dec 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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