EURORAD ESR

Case 13773

A case of hepatic amyloidosis with CT, MRI and angiographic findings

Author(s)
Ophelia K.H. WAI, Lawrence F.H. NG, Peter S.M. YU

Department of Radiology and Organ Imaging,
United Christian Hospital, Hong Kong;
Email:ophelia0127@gmail.com
 
Patient
male, 61 year(s)
 
 
  • Figure 1
    MRI non-contrast T1 fat saturation image

    Mild hepatosplenomegaly and diffuse increase of T1 signal in the liver parenchyma on T1 fat saturation image.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Precontrast CT abdomen

    Homogeneous hypoattenuation of liver and mild hepatosplenomegaly.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    CT abdomen arterial phase

    Marked narrowing of hepatic arteries

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    CT abdomen, portal venous phase

    Liver demonstrated heterogeneous enhancement with patchy and geographic pattern.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    CT abdomen, portal venous phase

    Periportal hypoenhancement in bilateral hepatic lobes.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    Coeliac angiogram

    Diffuse stenosis of the coeliac trunk, common hepatic artery and intrahepatic arteries, with intraluminal irregularities.

     
    Area of Interest: Abdomen; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Mild hepatosplenomegaly and diffuse increase of T1 signal in the liver parenchyma on T1 fat saturation image.
 
Homogeneous hypoattenuation of liver and mild hepatosplenomegaly.
 
Marked narrowing of hepatic arteries
 
Liver demonstrated heterogeneous enhancement with patchy and geographic pattern.
 
Periportal hypoenhancement in bilateral hepatic lobes.
 
Diffuse stenosis of the coeliac trunk, common hepatic artery and intrahepatic arteries, with intraluminal irregularities.
 
 
 
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