Sonazoid-enhanced ultrasonography and Ga-EOB-DTPA-enhanced MRI of hepatic inflammatory pseudotumor: a case report

Intern Med. 2012;51(7):723-6. doi: 10.2169/internalmedicine.51.6811. Epub 2012 Apr 1.

Abstract

A liver neoplasm was found in a 63-year-old man with alcoholic liver disease. Sonazoid-enhanced ultrasonography (US) showed that the neoplasm was isoechoic at the early vascular phase and hypoechoic at the post-vascular phase. Gadolinium ethoxybenzyl-diethylenetriamine-enhanced magnetic resonance imaging (MRI) showed that the neoplasm was hypointense at the hepatobiliary phase. We suspected that it was a malignant tumor. By needle biopsy, however, the neoplasm was diagnosed as an inflammatory pseudotumor (IPT). We encountered a rare case of hepatic IPT, the differential diagnosis of which was difficult to distinguish from malignant tumor. Here, we report new US and MRI findings of hepatic IPT.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biopsy, Fine-Needle
  • Contrast Media
  • Diagnosis, Differential
  • Ferric Compounds
  • Gadolinium DTPA
  • Granuloma, Plasma Cell / diagnosis*
  • Granuloma, Plasma Cell / diagnostic imaging*
  • Humans
  • Iron
  • Liver Diseases / diagnosis*
  • Liver Diseases / diagnostic imaging*
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / diagnostic imaging
  • Male
  • Middle Aged
  • Oxides
  • Ultrasonography

Substances

  • Contrast Media
  • Ferric Compounds
  • Oxides
  • Sonazoid
  • gadolinium ethoxybenzyl DTPA
  • Iron
  • Gadolinium DTPA