A Challenging Case of Solitary Necrotic Nodules of the Liver Mimicking Hepatic Metastases: CT, MRI, and PET-CT Findings

Main teaching point: Solitary necrotic nodules of the liver can be multiple and usually appear as hypovascular nodules mimicking hepatic metastases, but they are relatively small and located in the subcapsular areas of the liver. We report a very rare case of multiple solitary necrotic nodules of th...

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Bibliographic Details
Main Authors: Ji Yeon Hwang, Ji Eun Lee, Min Jung Jung
Format: Article
Language:English
Published: Ubiquity Press 2020-04-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/2088
Description
Summary:Main teaching point: Solitary necrotic nodules of the liver can be multiple and usually appear as hypovascular nodules mimicking hepatic metastases, but they are relatively small and located in the subcapsular areas of the liver. We report a very rare case of multiple solitary necrotic nodules of the liver mimicking hepatic metastases in a patient with previous history of lung cancer. The lesions appeared as low-attenuated or low-signal intensity nodules with thin rim enhancement on both contrast-enhanced computed tomography (CT) and magnetic resonance (MR) imaging, making them difficult to differentiate from hepatic metastases. This rare benign entity should be kept in mind, especially when lesions are small and located in the subcapsular areas of the liver.
ISSN:2514-8281