Progressive fatty liver and hepatic cysts
Diagnosis certain
Updates to Case Attributes
Age
changed from 60 to 60 years.
Body
was changed:
One of the interpretation issues with fatty liver is the difficulty in detecting hypodense focal pathology and in this case, cysts in the right hepatic lobe posteriorly have become progressively difficult to visualise as there is loss of contrast difference between the 2, i.e. a 50 HU difference between parenchyma and cyst in 2012 down to <30 HU in 2017 and 2018. Also of interest is the inexorable progress in fatty change over 6 years despite a laparoscopic gastric band in situ for weight reduction.
-<p>One of the interpretation issues with fatty liver is the difficulty in detecting focal pathology and in this case, cysts in the right hepatic lobe posteriorly have become progressively difficult to visualise as there is loss of contrast difference between the 2 i.e. 50 HU difference between parenchyma and cyst in 2012 down to <30 HU in 2017 and 2018. Also of interest is the inexorable progress in fatty change over 6 years despite a laparoscopic gastric band in situ for weight reduction. </p>- +<p>One of the interpretation issues with <a title="Fatty liver" href="/articles/hepatic-steatosis">fatty liver</a> is the difficulty in detecting hypodense focal pathology and in this case, cysts in the right hepatic lobe posteriorly have become progressively difficult to visualise as there is loss of contrast difference between the 2, i.e. a 50 HU difference between parenchyma and cyst in 2012 down to <30 HU in 2017 and 2018. Also of interest is the inexorable progress in fatty change over 6 years despite a <a title="Laparoscopic adjustable gastric banding" href="/articles/gastric-band">laparoscopic gastric band</a> in situ for weight reduction.</p>