Hepatic steatosis with mass effect:A case report  

作　　者：Na Hu Shi-Jun Su Jin-Ye Li Hui Zhao Shan-Feng Liu Lin-Sheng Wang Ruo-Zhen Gong Chuan-Ting Li 

机构地区：[1]Department of Radiology,Shandong Provincial ENT Hospital,Shandong University,Jinan 250023,Shandong Province,China [2]Department of Radiology,The Fifth People's Hospital of Jinan,Jinan 250022,Shandong Province,China [3]Innovation Studio,Shandong Provincial ENT Hospital,Shandong University,Jinan 250023,Shandong Province,China [4]Department of Radiology,Shandong Provincial Hospital,Shandong University,Jinan 250021,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2022年第30期11066-11073,共8页世界临床病例杂志

基　　金：Supported by the Medical and Health Science and Technology Development Plan of Shandong,China,No.2018WS322,No.202109010865,and No.202009010992。

摘　　要：BACKGROUND Hepatic steatosis is a common radiologic finding.Some imaging inklings are the absence of a mass effect,and there is currently no report of hepatic steatosis with mass effect.CASE SUMMARY A 23-year-old female was admitted due to a liver mass for half a month.No obvious abnormalities were found in physical and laboratory examinations.Ultrasound,computed tomography,and magnetic resonance imaging showed a huge mass between the liver and stomach with a significant mass effect,and the caudate lobe and left lobe of the liver were involved.The signal on T2-and T1-weighted fat-saturated images of the mass was significantly reduced,and the enhanced scan showed inhomogeneous enhancement.Surgical and pathological findings indicated the diagnosis of hepatic steatosis.The operation and re-review of the patient’s images showed that the lesion was supplied by the branch of the hepatic artery.The signal on T1-weighted out-of-phase images of the lesion was lower than on in-phase images,and there was no black rim cancellation artifact around the hepatic steatosis area on T1-weighted out-of-phase images.The dynamic enhancement pattern of the lesion was similar to that of the adjacent normal liver parenchyma.The above characteristics suggested that the lesion was hepatic steatosis.However,in this case,the lesion showed exogenous growth and was mass-like,with an obvious mass effect,which has not been reported previously.CONCLUSION Hepatic steatosis could grow exogenously and has an obvious mass effect.It needs to be distinguished from fat-rich tumors.The T1-weighted in-and out-of-phase images and dynamic enhanced scanning are valuable for differential diagnosis of this lesion.

关 键 词：Hepatic steatosis Computed tomography Magnetic resonance imaging In-phase and out-of-phase imaging Case report 

分 类 号：R575.5[医药卫生—消化系统]