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2004 ; 10
(11
): 1639-42
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Imaging diagnosis of 12 patients with hepatic tuberculosis
#MMPMID15162540
Yu RS
; Zhang SZ
; Wu JJ
; Li RF
World J Gastroenterol
2004[Jun]; 10
(11
): 1639-42
PMID15162540
show ga
AIM: To assess CT, MR manifestations and their diagnostic value in hepatic
tuberculosis. METHODS: CT findings in 12 cases and MR findings in 4 cases of
hepatic tuberculosis proved by surgery or biopsy were retrospectively analyzed.
RESULTS: (1) CT findings: One case of serohepatic type of hepatic tuberculosis
had multiple-nodular lesions in the subcapsule of liver. Parenchymal type was
found in 10 cases, including multiple, miliary, micronodular and low-density
lesions with miliary calcifications in 2 cases; singular, low-density mass with
multiple flecked calcifications in 3 cases; multiple cystic lesions in 1 case;
multiple micronodular and low-density lesions fusing into multiloculated cystic
mass or "cluster" sign in 3 cases; and singular, macronodular and low-density
lesion with multiple miliary calcifications in 1 case. One case of tuberculous
cholangitis showed marked dilated intrahepatic ducts with multiple flecked
calcifications in the porta hepatis. (2) MR findings in 4 cases were hypointense
on both T1-weighted imagings and T2-weighted imagings in one case, hypointense on
T1-weighted imagings and hyperintense on T2-weighted imagings in 3 cases.
Enhanced MR in 3 cases was slightly shown peripheral enhancement or with
multilocular enhancement. CONCLUSION: Various types of hepatic tuberculosis have
different imaging findings, and typical CT and MR findings can suggest the
diagnosis.
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