title: Focal fat masquerading as malignancy in the liver graft of a post-transplant patient.
abstract: OBJECTIVE
  Liver failure from non-alcoholic fatty liver disease (NAFLD) is an increasing indication for liver transplant and recurrence of fatty liver in transplanted grafts has been documented. Herein is described an atypical recurrence of steatosis as a de novo focal fatty lesion that mimicked a more ominous cancerous lesion. This presentation of recurrent NAFLD has not previously been described in the literature.
  
  
  METHODS
  Chart review.
  
  
  RESULTS
  Biopsy of an atypical lesion was found to be focal fat with surrounding steatohepatitis.
  
  
  CONCLUSIONS
  Non-alcoholic fatty liver disease may recur after liver transplant and manifest as a focal fatty lesion. It is important to catalogue the atypical presentations of the increasingly common NAFLD developing in transplanted livers.
authors.affiliation: Department of Medicine, University of North Carolina, Chapel Hill, NC 27599-7080, USA.
authors.forename: Caitlyn M
authors.initials: CM
authors.lastname: Patrick
authors.forename: Paul H
authors.initials: PH
authors.lastname: Hayashi
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kozlowski
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Greene
authors.forename: Richard C
authors.initials: RC
authors.lastname: Semelka
authors.forename: A Sidney
authors.initials: AS
authors.lastname: Barritt
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000175:diagnosis; D003937:Diagnosis, Differential; D005234:Fatty Liver / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000473:pathology*; D008113:Liver Neoplasms / Q000175:diagnosis; D016031:Liver Transplantation; D008232:Lymphoproliferative Disorders / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D012008:Recurrence