EURORAD ESR

Case 10000

Reactive lymphoid hyperplasia of the liver

Author(s)
Klein LM, Casares Santiago M, Ramia Angel JM, Alonso García S, del Cerro Gonzalez J

Hospital universitario de Guadalajara,
Departamento de Radiología;
calle Donante de Sangre s/n
19002 Guadalajara;
Email:leamarieklein@hotmail.com
 
Patient
female, 73 year(s)
 
 
  • Figure 1
    Contrast-enhanced abdominal Computed Tomography

    Axial image of contrast-enhanced abdominal Computed Tomography shows a nodular, hypodense and well-circumscribed lesion in liver segment 6.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 2
    Contrast-enhanced abdominal Computed Tomography

    Coronal image of contrast-enhanced CT MPR shows a nodular, hypodense and well-circumscribed lesion in liver segment 6.

     
    Area of Interest: Liver; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 3
    Contrast-enhanced abdominal Computed Tomography

    Coronal multiplanar reconstruction image showing a nodular, hypodense and well-circumscribed lesion in liver segment 6.

     
    Area of Interest: Liver; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 4
    Intraoperative ultrasound

    Intraoperative ultrasound image revealing a hypoechoic, rounded and well-defined hepatic lesion with an hyperechoic centre.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Intraoperative; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 5
    Pathological findings: Microscopic features of RLH.

    A:panoramic-view. Inset: portal inflammation. B:Granulomatous infiltrate(*). Inset: Multinucleated giant-cells(**) C:Positive CD20-inmunohistochemical staining. D:Negative BCL2-expression in reactive germinal...

     
    Area of Interest: Liver; Imaging Technique: Image manipulation / Reconstruction; Procedure: Biopsy; Special Focus: Hyperplasia / Hypertrophy;
     
     
Axial image of contrast-enhanced abdominal Computed Tomography shows a nodular, hypodense and well-circumscribed lesion in liver segment 6.
 
Coronal image of contrast-enhanced CT MPR shows a nodular, hypodense and well-circumscribed lesion in liver segment 6.
 
Coronal multiplanar reconstruction image showing a nodular, hypodense and well-circumscribed lesion in liver segment 6.
 
Intraoperative ultrasound image revealing a hypoechoic, rounded and well-defined hepatic lesion with an hyperechoic centre.
 
A:panoramic-view. Inset: portal inflammation. B:Granulomatous infiltrate(*). Inset: Multinucleated giant-cells(**) C:Positive CD20-inmunohistochemical staining. D:Negative BCL2-expression in reactive germinal centers. E&F:Inmunohistochemistry for κ and λ: No evidence of light-chain-restriction.
 
 
 
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