A CASE OF MULTIPLE FOCAL FATTY INFILTRATION SHOWING MULTIPLE TUMOROUS LESIONS OF THE LIVER ON COMPUTED TOMOGRAPHY

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  • 画像診断上,肝の腫瘤性病変と鑑別が困難であった多発性限局性脂肪浸潤の1例

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Abstract

A 61-year-old male was admitted for examing multiple low density areas in the liver on computed tomography (CT). His body weight was 81kg, which was (measured) more than 30% overweight. Laboratory data on admission showed mild elevation of transaminase and diabetes mellitus. Abdominal ultrasonography and CT showed multiple space occupying lesions, which diameter were 0.2-0.6 cm in size. Laparoscopic findings revealed the liver cirrhosis, which color of nodules was yellowish. Liver biopsy specimen showed pseudolobules with or without marked fatty infiltration. Diet therapy was performed to reduce body weight and resulted in disappearance of multiple space occupying lesions. Thus, this is a very rare and interesting case with multiple focal fatty infiltration.

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