Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease
Multinodular steatosis represents a relatively uncommon manifestation of fatty liver disease (FLD). Co-morbidities such as metabolic syndrome or cirrhosis are often associated. Despite typical features of imaging (ultrasound, CT, and MRI), core biopsy sometimes remains the gold standard for diagnosi...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324012962 |
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| author | Pietro Pitrone, MD Agatino Cacciola, MD Antonino Cattafi, MD Alessia Maria Romeo, MD Annalisa Cracò, MD. Francesco Marcello Aricò, MD Nicola Migliaccio, MD Francesca Magnani, MD Italo Giuseppe Bellone, MD Simona Caloggero, MD Giampiero Mastroeni, MD |
| author_facet | Pietro Pitrone, MD Agatino Cacciola, MD Antonino Cattafi, MD Alessia Maria Romeo, MD Annalisa Cracò, MD. Francesco Marcello Aricò, MD Nicola Migliaccio, MD Francesca Magnani, MD Italo Giuseppe Bellone, MD Simona Caloggero, MD Giampiero Mastroeni, MD |
| author_sort | Pietro Pitrone, MD |
| collection | DOAJ |
| description | Multinodular steatosis represents a relatively uncommon manifestation of fatty liver disease (FLD). Co-morbidities such as metabolic syndrome or cirrhosis are often associated. Despite typical features of imaging (ultrasound, CT, and MRI), core biopsy sometimes remains the gold standard for diagnosis. We describe the case of a 57-year-old male patient with a long history of hepatic cirrhosis and a recent diagnosis of carcinoma of the tongue, successfully treated. Due to the occurrence of nausea, diarrhea and jaundice the patient is admitted to Our Hospital where ultrasound examination and contrast-enhanced CT are performed, showing global hypoechogenicity of the liver parenchyma with multiple hypo-attenuating lesions. To rule out metastatic lesions, contrast-enhanced CT of the thorax and cranium and gastroscopy and colonoscopy are performed, with no evidence of primary malignancy. Core biopsy reveals macro-vacuolar steatosis within a cirrhotic liver with regenerative aspects. |
| format | Article |
| id | doaj-art-bb0ebb80dfc6431bae2ca8f525a8c966 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-bb0ebb80dfc6431bae2ca8f525a8c9662024-12-18T08:47:57ZengElsevierRadiology Case Reports1930-04332025-02-0120212081210Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic diseasePietro Pitrone, MD0Agatino Cacciola, MD1Antonino Cattafi, MD2Alessia Maria Romeo, MD3Annalisa Cracò, MD.4Francesco Marcello Aricò, MD5Nicola Migliaccio, MD6Francesca Magnani, MD7Italo Giuseppe Bellone, MD8Simona Caloggero, MD9Giampiero Mastroeni, MD10Radiology Unit, ''Papardo'' Hospital, Messina, ME 98158, Italy; Corresponding author.Diagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital ''Policlinico G. Martino'', Messina, ME 98124, ItalyProvincial Health Agency of Messina, ME, ItalyDiagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital ''Policlinico G. Martino'', Messina, ME 98124, ItalyDiagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital ''Policlinico G. Martino'', Messina, ME 98124, ItalyDiagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital ''Policlinico G. Martino'', Messina, ME 98124, ItalyDiagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital ''Policlinico G. Martino'', Messina, ME 98124, ItalyProvincial Health Agency of Messina, ME, ItalyProvincial Health Agency of Reggio Calabria, RC, ItalyRadiology Unit, ''Papardo'' Hospital, Messina, ME 98158, ItalyRadiology Unit, ''Papardo'' Hospital, Messina, ME 98158, ItalyMultinodular steatosis represents a relatively uncommon manifestation of fatty liver disease (FLD). Co-morbidities such as metabolic syndrome or cirrhosis are often associated. Despite typical features of imaging (ultrasound, CT, and MRI), core biopsy sometimes remains the gold standard for diagnosis. We describe the case of a 57-year-old male patient with a long history of hepatic cirrhosis and a recent diagnosis of carcinoma of the tongue, successfully treated. Due to the occurrence of nausea, diarrhea and jaundice the patient is admitted to Our Hospital where ultrasound examination and contrast-enhanced CT are performed, showing global hypoechogenicity of the liver parenchyma with multiple hypo-attenuating lesions. To rule out metastatic lesions, contrast-enhanced CT of the thorax and cranium and gastroscopy and colonoscopy are performed, with no evidence of primary malignancy. Core biopsy reveals macro-vacuolar steatosis within a cirrhotic liver with regenerative aspects.http://www.sciencedirect.com/science/article/pii/S1930043324012962Multinodular steatosisCirrhosisMetastatic diseaseCore biopsy |
| spellingShingle | Pietro Pitrone, MD Agatino Cacciola, MD Antonino Cattafi, MD Alessia Maria Romeo, MD Annalisa Cracò, MD. Francesco Marcello Aricò, MD Nicola Migliaccio, MD Francesca Magnani, MD Italo Giuseppe Bellone, MD Simona Caloggero, MD Giampiero Mastroeni, MD Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease Radiology Case Reports Multinodular steatosis Cirrhosis Metastatic disease Core biopsy |
| title | Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| title_full | Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| title_fullStr | Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| title_full_unstemmed | Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| title_short | Macro-vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| title_sort | macro vacuolar steatosis in a cirrhotic liver mimicking metastatic disease |
| topic | Multinodular steatosis Cirrhosis Metastatic disease Core biopsy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324012962 |
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