Confluent hepatic fibrosis as the presenting imaging sign in nonadvanced alcoholic cirrhosis.
Confluent hepatic fibrosis (CHF) is usually a feature of advanced cirrhosis, while occurrence in early stage compensated cirrhosis is uncommon. We report the imaging findings of masslike CHF in a patient with previously unsuspected compensated alcoholic cirrhosis. The combination of partially wedge shape, minimal capsular retraction, and homogeneous delayed enhancement on multiphase contrast-enhanced spiral CT led to the characterization of the lesions and establishment of the diagnosis of cirrhosis.
Kelekis
Nikolaos L
NL
2nd Department of Radiology, Medical School National and Kapodistrian University of Athens, 20 Papadiamantopoulou Str 115 28, Athens, Greece. kelnik@med.oua.gr
Makri
Eirini
E
Vassiou
Aikaterini
A
Patsiaoura
Kalliopi
K
Spiridakis
Michalis
M
Dalekos
Georgios N
GN
D003287:Contrast Media; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D008104:Liver Cirrhosis, Alcoholic / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D036542:Tomography, Spiral Computed; D014283:Triiodobenzoic Acids
D003287:Contrast Media; D014283:Triiodobenzoic Acids; C053571:iopentol