title: CT and MR findings in extramedullary haematopoiesis with biliary system encasement: a case report.
abstract: Extramedullary haematopoiesis is the production of blood elements outside the bone marrow cavity. In our case computed tomography and magnetic resonance imaging revealed the presence of a rare localization of extramedullary haematopoiesis with encasement of the biliary system in a 59 years-old male Caucasian patient, with chronic myelofibrosis and hepatic failure's symptomatology. Computed tomography detected the presence of homogeneous hypodense tissue around intra-hepatic bile ducts with minimal contrast enhancement, strongly suggestive for extramedullary haematopoiesis. Magnetic resonance confirmed the presence of a solid tissue surrounding the biliary tree, showing late enhancement after gadolinium administration suggestive for non-active lesion of extramedullary haematopoiesis. Final diagnosis was established by percutaneous biopsy.
authors.affiliation: Department of Radiology, University of Pavia, Pavia, Italy.
authors.forename: Alfredo
authors.initials: A
authors.lastname: La Fianza
authors.forename: Giulia
authors.initials: G
authors.lastname: van der Byl
authors.forename: Gloria
authors.initials: G
authors.lastname: Maccabelli
authors.forename: Lorella
authors.initials: L
authors.lastname: Torretta
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Calliada