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Multinodular fatty sparing.

机译:多结节脂肪稀疏。

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A 46 year-old woman was admitted for right hypochondriac pain. Reported antecedents included obesity and non insulin-dependent diabetes. She did not consume alcohol. Clinical examination showed no abnormality. Laboratory results, including hepatic tests and aFP, were normal.Ultrasound revealed multiple hypoechoic hepatic nodules. On CT those nodules appeared with contrast enhancement during the arterial phase but did not wash out during the late phase (Fig. 1A and B). On MRI they were well delineated, homogeneous, without mass effect and enhancement was similar to that revealed on the CT. The opposed-phase sequence showed hepatic parenchyma with diffuse low signal intensity compared to the in-phase sequence (Fig. 2A and B). No other lesion was found. Biopsies were performed (Fig. 3).
机译:一名46岁的女性因右下软骨痛入院。报告的前因包括肥胖和非胰岛素依赖型糖尿病。她没有喝酒。临床检查未见异常。实验室检查结果,包括肝检查和aFP均正常,超声检查发现多个低回声性肝结节。在CT上,这些结节在动脉期出现对比增强,但在晚期未消失(图1A和B)。在MRI上,它们轮廓清晰,均匀,没有质量效应,增强效果与CT相似。与同相序列相比,相反相序列显示出肝实质具有较低的信号强度弥散(图2A和B)。没有发现其他病变。进行活检(图3)。

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