As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images. Please use another browser until we can get it fixed.

Reversal sign of diffuse hepatic fatty infiltration

Case contributed by Dr Lakshmi Srinivasan

Diffuse hypoattenuation of the hepatic parenchyma due to hepatic steatosis. The hepatic vessels appear hyperattenuating on this non-contrast study, but they are actually normal. This is an apparent 'reversal' of the normal attenuation relationship between the hepatic parenchyma and the hepatic vessels.

Elliptical ROI Hounsfield units of the liver measured -1.5 HU. 

Note also, the marked pancreatic atrophy in this patient with cystic fibrosis. 

Case Discussion

This patient has a known history of cystic fibrosis

PlayAdd to Share

Case information

rID: 26962
Published: 16th Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.