Pseudolipoma of the Glisson capsule

Case contributed by Aqeel Alameer

Presentation

Incidental finding.

Patient Data

Age: 60 years
Gender: Male

A 15 mm subcapsular fat attenuating lesion is noted in segment 7.

Post-surgical appearances of the esophagus and gastro-esophageal junction with some degree of stasis.

Slightly bulky left adrenal.

No other major findings.

The fatty lesion in segment 7 has an intermediate/high signal on T2 and suppresses on T2 fat sat. Most likely diagnosis is a pseudolipoma of the Glisson capsule

Case Discussion

Pseudolipoma of the Glisson capsule is an uncommon fat-containing liver lesion that is a mass of fat tissue from the epiploic appendages that becomes ectopically situated between the diaphragm and liver. This lesion is asymptomatic and no treatment is necessary.

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