Focal fatty infiltration of the liver mimicking metastatic disease.
We report the mistaken diagnosis of metastatic liver disease by ultrasonography in a patient with congestive heart failure and focal fatty infiltration of the liver. Multiple echogenic space-occupying lesions in the liver can be caused by benign conditions as well as tumour deposits and in a debilitated patient the possibility of focal fatty infiltration should always be considered.
Cardiac Department, John Radcliffe Hospital, Headington, Oxford, UK.
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Bashir
D000368:Aged; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005234:Fatty Liver / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary*; D014463:Ultrasonography