focal fatty infiltration gallbladder fossa focal fatty infiltration gallbladder fossa

approximately 75% of obese people have fatty infiltration.It is the most common cause of abnormal liver function tests in the United States. Hepatomegaly vs. steatosis. According to the American Liver Foundation, fatty liver disease occurs when more than 5% - 10% of the liver is made up of fat. The good news is thatfatty liver disease can be managed and possibly reversedwith careful diet and lifestyle changes. eCollection 2021. Your DNA an abbreviation short for deoxyribonucleic acid is a code that makes you human and determines your individual traits. CT scan results: LIVER: "There is diffuse low-density throughout the liver compatible fatty infiltration. If unusual in location or appearance then differentials to be considered include: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. paraduodenal fossa. Objective: It is the most common. Eating an abundance of fruits and veggies is vital for protecting your liver from fatty liver progression and worsening liver conditions. The gallbladder is a small hollow intraperitoneal organ. official website and that any information you provide is encrypted Occasionally, focal sparing is nodular and located elsewhere in the liver. An individuals personality like introversion or open-mindedness is highly influenced by both genes and the environment. Ultrasound one year ago said diffuse fatty infiltration of the liver, now it says fatty infiltration of the liver with focal fatty sparring, meaning? Omega-3 fatty acids are potent anti-inflammatory agents that may help your body repair from liver inflammation and damage. So, leftover sugar is converted into fat and stored throughout the body. The analysis showed that genetic changes associated with fatty liver disease were reversed post-treatment, revealing the livers ability to respond positively to environmental changes. However, the body cant use all of the sugar at once. Eating these foods will ensure that you get optimal amounts of fiber, complex carbohydrates, and essential amino acids needed to power biological functions. Learn more about the types of fatty liver disease, the symptoms, diagnosis, and treatment options. Make sure you eat plenty of high-quality protein that offers optimal ratios ofessential amino acids. AJR Am J Roentgenol. The cause of this is incompletely understood. Specific variants of each gene are associated with increased risk of conditions associated with fatty liver disease, such as insulin resistance and type 2 diabetes. 98% of physicians recommend this food for liver health which can help manage fatty infiltration of the liver, We do not accept any local currencies of the EU, We do not allow for orders to be delivered to the EU, We do not provide services to EU users on our website and in marketing materials, We remove all EU countries in address fields or similar drop-down menus, We do not allow users located in the EU to sign up for services, We do not enter into direct contractual relationships with EU end customers, We do not provide any telephone hotline numbers of any Member State of the EU, We do not advertise our goods or services specifically to consumers in the EU, We do not use a top-level domain name of any Member State of the EU, Our website does not mention customers based in the EU. Fruits and vegetables are chock-full of protective components like antioxidants, vitamins, and minerals. . The following factors indicate that we are not intended to offer any goods or services to data subjects in the EU: Information for Health Care Professionals. The site is secure. However, the patient may be symptomatic from the abnormally increased fattiness of the remainder of the liver. Decreasing your body weight if you are overweight is associated with positive changes in metabolic function and the reversal of fatty liver disease. Radiographics Nov 1985. The echogenicity of your liver shows up on imaging tests and indicates the fat content of your liver. Accessibility Even if you are genetically predisposed to fatty liver disease, you can make diet and lifestyle changes that positively alter the expression of your DNA and reverse fatty liver. Cookie Notice Commonly, fatty infiltration of the liver is generalized and both CT scans and sonograms can easily demonstrate changes related to this condition. Less common causes of . : Increased echogenicity of the liver. Focal hypoehoic lesion adjacent to GB fossa. A diagnostic imaging test can confirm swelling and enlargement of the liver, as well as the presence of excess fat in the liver. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Research from the American Liver Foundation has also found that up to 25% of Americans suffer from fatty liver disease. Sites of predilection are perivascular and gallbladder fossa in. feel abdominal pain / diarrhea. A variety of pathologic conditions and pseudolesions occur at the capsular and subcapsular regions of the liver and are detected with cross-sectional abdominal imaging. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Thanks in advance. Focal fatty sparing typically has a geographic appearance and occurs in characteristic locations 1,3: Important features, along with location and echogenicity/density/intensity are 2: When it occurs outside of these areas or has a nodular appearance, it may become problematic distinguishing it from a focal liver lesion, especially as regions of focal sparing may be seen around focal liver lesions 2,3. Analysis of prostaglandin-endoperoxide synthase-2 gene polymorphisms and risk of cervical cancer in an East Indian population: A case-control study If you have an echogenic liver, there is a high probability that youve also been diagnosed with fatty liver disease. Bothcoffeeand green tea are liver-friendly drinks that you can incorporate into your daily routine. The imaging criterion for focal fatty infiltration of the liver on helical CT was a geometric or ovoid low-attenuation area adjacent to the falciform ligament, gallbladder fossa, or porta hepatis. Both lymphoid and myeloid leukemia have been reported to involve the gallbladder. Unusual patterns of hepatic steatosis caused by the local effect of insulin revealed on chemical shift MR imaging. any idea of the problem? The expression of the genes contributing to fatty liver disease is comparable to more complex traits, like personality. ADVERTISEMENT: Supporters see fewer/no ads. Consuming large amounts of added sugar and saturated fat are also linked to associated conditions like type 2 diabetes, insulin resistance, and obesity. 2017 Jun;42(6):1667-1678. doi: 10.1007/s00261-017-1049-z. Differential diagnosis of fat-containing lesions with abdominal and pelvic CT. Focal fat deposition in the liver: diagnostic challenges on imaging. PMC Disclaimer. 67 (4): 372-9. 1. Such atypical nodular focal fatty sparing may result in lesions that are hypoechoic at ultrasound and hyperdense at CT and may be mistaken for metastases or other tumors (Figures 19.1 and 19.2) [24]. 022H Asymmetric Hypertrophic Obstructive Cardiomyopathy. How severe is fatty infiltration of the liver? Low Liver Density Is Linked to Cardiovascular Comorbidity in COPD: An ECLIPSE Cohort Analysis. When focal fatty infiltration of the liver has the appearance of a small nodule, it can be confused with a more serious hepatic abnormality [6,7,8,9].Because a high percentage of CT examinations in children are performed to evaluate tumor progression, knowledge of the CT appearance of focal fatty infiltration of the liver is critical for accurate interpretation. At this stage, you may experience worsening symptoms such as fatigue and abdominal pain. Research has shown that there is not just one gene that determines the risk of developing fatty liver disease, but rather an interaction of many genes in your DNA. I have a cyst close to the gallbladder fossa. . When they back up, the liver will become congested and grow larger. A retrospective study was undertaken to evaluate the relationship. Focal fatty infiltration can often look like a cholangiocarcinoma, gallbladder carcinoma, or metastases within the liver. (2012) Clinical radiology. Failure to recognize the characteristic MR findings of nodular fatty sparing could lead to a misdiagnosis of hepatic tumor and inappropriate biopsy. Fatty infiltration of the liver comes in two types: Non Alcoholic Fatty Liver Disease (NAFLD) and Alcoholic Fatty Liver Disease. 2001;176 (2): 471-4. It turns out that hepatic steatosis is influenced by a mixture of both. eCollection 2014. Has data issue: true To lower the risk of developing fatty liver disease, it is important to cut out foods that inhibit healthy metabolic function and negatively alter the expression of genes that play a role in metabolic processes. Essentially the same as those that contribute to diffuse hepatic steatosis: In general, the treatment of the underlying condition will reverse the findings. 1987 Sep;149(3):491-4. doi: 10.2214/ajr.149.3.491. Also, experts do not exclude parasites or . Of the three genes, PNPLA3 is the most well-studied gene and directly plays a role in liver metabolic processes. No hepatic lesion. Whole plant foods like leafy greens and fruit afford an abundance of micronutrients- like vitamin E, vitamin C, and polyphenols- that exhibit antioxidant and anti-inflammatory activity. Find out more about the Kindle Personal Document Service. Conclusion. Created for people with ongoing healthcare needs but benefits everyone. Focal fatty sparing is usually geographic in shape and located near the gallbladder fossa and porta hepatis [1]. The authors here describe a number of imaging features which together are distinctive and may be diagnostic of focal fatty infiltration of the liver. NAFLD encompasses a spectrum of conditions, ranging from benign hepatocellular steatosis to inflammatory nonalcoholic . As the name suggests, elastography can assess the texture of liver tissue. MeSH Eating a diet high in high-quality protein is often recommended for fatty liver disease. : S5/6 , IVC 2.6 cm focal hypoechoic nodular lesion . What is Hepatic Encephalopathy and How Does it Develop? with diabetes, obesity (fatty degeneration of the liver), chronic hepatitis, cirrhosis, tumors or cysts (local changes). I heard docs say "gallbladder is distended multiple calcified gallstones seen". Knowing the anatomy and the normal imaging appearance of these organs in the post-menopausal woman is fundamental to recognize physiological post-menopausal changes and to identify findings that can be normal in the reproductive years but pathological . They are designed based on the dietary restrictions of liver patients. If the entire liver tissue becomes hypodense, and especially if the mean attenuation is considerably less than that of the spleen, it suggests diffuse infiltration with fatty change. The role of CT in the diagnosis of fatty liver is well established. Diagnostic criteria for fatty infiltration of the liver on contrast-enhanced helical CT. AJR Am J Roentgenol. ADVERTISEMENT: Supporters see fewer/no ads. To find out some easy ways to incorporate exercise into your daily routine, click here. An echogenic liver is an ultrasound reading that indicates a higher level of fat in the liver. (2019) Radiology Research and Practice. An echogenic liver is an ultrasound reading that indicates a higher level of fat in the liver. End-stage liver failure is best treated with liver transplantation. } The liver does not usually store fat. Diffusive focal liver changes. A high content of fat in the liver is indicative of fatty liver disease. Note you can select to save to either the @free.kindle.com or @kindle.com variations. Read on to find out more about what it means to have an echogenic liver and how you can address it. Conditions like obesity, insulin resistance, hypertension, high triglycerides and cholesterol, and type 2 diabetes are risk factors for developing fatty liver disease. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The characteristic finding is a diffuse decrease in the attenuation within the liver compared with that of the spleen. Pathological analysis. Sometimes, fatty infiltration of the liver is focal and occasionally, it is generalized with focal sparing of the normal liver tissue creating some problems in the diagnosis. At the time the article was created Frank Gaillard had no recorded disclosures. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Drinking excess alcohol puts stress on the liver and causes oxidative stress, or the buildup of waste products like reactive free radicals. Pseudolesions of left liver lobe during helical CT examinations: prevalence and comparison between unenhanced and biphasic CT findings. Chronic heavy drinking over a longer period of time can cause significant irritation and inflammation in the liver, causing fat accumulation in liver tissue. Is this pain coming from Fatty Liver, or is it more likely a recurrence of my lifelong battle with digestive issues? i have had a cholecystectomy and have reacurring pain. Breaking an alcohol dependency often requires guidance from a medical professional as well as medical oversight. how to proceed? The terms "hepatic steatosis" and "fatty liver disease" can be used interchangeably. The liver was enlarged and showed mild increase in parenchymal echogenicity suggesting mild fatty infiltration. As NASH progresses, fibrotic changes occur in the liver. Other traits, such as personality, are much more complex and described as polygenic traits since they are influenced by a large number of different genes. Exercise promotes weight loss and cardiovascular health. Chung JJ, Kim MJ, Kim JH et-al. MRI can be very helpful in establishing the diagnosis of nodular focal fatty sparing [2]. 020H 34M CRF Dilated Cardiomyopathy Diabetes Pancreatitis. There is focal fatty sparing adjacent to gallbladder fossa. [1] Nonalcoholic fatty liver disease (NAFLD) is evidence of hepatic steatosis (imaging or histologic) in the absence of secondary causes of hepatic fat accumulation, such as significant alcohol consumption. (give in NS) Has a high pH, will cause severe local tissue necrosis in cases of infiltration (g ive antecubital or central line) Elevate limb, apply d ry heat and cool compresses after extravasation Side effects Hypotension Heart blocks . Fatty liver deposition is a very common finding but it has many atypical patterns of distribution that can represent diagnostic pitfalls. 2004;183 (3): 721-4. Generally, it takes many years for fatty liver disease to advance and become symptomatic. To save content items to your account, I also suffer from health anxiety, so of course I'm terrified after finding this CT scan result while my mom is in care. It is generally a nonspecific finding possibly related to fatty infiltration but can also mean virtually nothing. Imaging patterns and focal lesions in fatty liver: a pictorial review. Primary lymphoma of the liver, gallbladder, and extrahepatic bile ducts or secondary involvement of these organs by leukemia is exceedingly rare. Puranik AD, Purandare NC, Agrawal A, Shah S, Rangarajan V. Indian J Nucl Med. 442 Disorders of liver except malignancy . There is focal fatty sparing adjacent to gallbladder fossa. Liver with generalized steatosis demonstrates increased echogenicity 2. is that normal? No hepatic lesion. Fatty liver disease is a common cause of an echogenic liver. Focal fatty infiltration: a cause of nontumorous defects in the left hepatic lobe during CT arterial portography. Find out more about saving to your Kindle. A hepatologist is a doctor who specializes in treating and managing conditions of the liver, gallbladder, and pancreas. LIVER: "There is diffuse low-density throughout the liver compatible fatty infiltration. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. The .gov means its official. Conversely, you dont have to have the fatty liver disease gene to develop fatty liver disease. 2013 Apr;28(2):99-101. doi: 10.4103/0972-3919.118263. Unable to process the form. In fact, steatotic hepatocytes have been observed in biopsy samples of focally A higher liver echogenicity indicates a higher fatty infiltration in the liver. A non-neoplastic, regenerating hepatocellular hyperplasia, secondary to the presence of focal vascular abnormalities in the liver. Recently, some reports have mentioned the appearance of a focal sparing area in the generalized fatty liver. Crossref. Diffuse liver changes affect the entire organ. National Library of Medicine Such micronutrients play a role in reversing fatty liver disease, improving insulin sensitivity, and lowering blood pressure. 6. Keep in mind that developing liver fibrosis and cirrhosis also increases the risk of developing liver cancer. To find out more about Amsety Bars click here. Focal fatty infiltration of the liver was identified in 9.2% of patients in our population, and occurrence of this lesion in children increases significantly with advancing age. Become a Gold Supporter and see no third-party ads. Fatty liver disease is very responsive to interventions. Features include: MRI is the imaging modality of choice in any case where the diagnosis is felt to be less than certain. what does this mean? In the context of metastases, this may be due to compression/invasion of portal venules by tumor 3. The area(s) of focal fatty sparing will lack this increased echogenicity, and the reporter may erroneously believe these areas to be abnormal. The prevalence of focal fatty infiltration of the liver increased significantly with advancing age: 0% for ages 1 month-4 years; 7.3% for 5-9 years; 10.2% for 10-14 years, and 25.6% for 15-19 years (p < 0.0001). Important caveat:areas of focal fat sparing may be found adjacent to metastases (see below). . When fatty liver disease progresses, it may cause symptoms like weakness, fatigue, unintentional weight loss, yellowing of the skin (jaundice), easily bruising, spider angiomas, ascites, and muscle wasting. Hepatomegaly. A characteristic location for focal fatty change is the medial segment of the left lobe of the liver (segment 4) either anterior to the porta hepatis or adjacent to the falciform ligament. MRI with fat suppression is more sensitive than T1 and T2 weighted imaging for fatty infiltration, with fatty . @kindle.com emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Hahn L, Reeder SB, Muoz del Rio A, Pickhardt PJ. Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver - update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. National Library of Medicine As a liver patient, you should always discuss your diet with your doctor. Focal fatty sparing of the liver is the localized absence of increased intracellular hepatic fat, in a liver otherwise fatty in appearance i.e. Results: Being exposed to chronic stress can cause inflammation that may exacerbate fatty liver disease and indicators of metabolic syndrome. Whenever the word . r/o Focal fat sparing. Focal fat sparing near IVC . Focal sparing is seen in the region adjacent to the gallbladder fossa. 2013 Aug 16;7(2):327-31. doi: 10.1159/000354802. They make a great and healthy snack on the go, and can serve as a meal replacement for malnourished patients. It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. AJR Am J Roentgenol. Focal fat is most common adjacent to the falciform ligament, gallbladder fossa, and porta hepatis. Focal motor activity; Somatic sensory experiences; Disturbances in vision, hearing, smell or taste . Food can help you change how your DNA is expressed and following a hepatic steatosis diet can help reverse fat accumulation in your liver. Sohn J, Siegelman E, Osiason A. is this nafld. hida scan showed no definite extravasation. Clipboard, Search History, and several other advanced features are temporarily unavailable. Its critical to treat fatty liver disease as soon as it is diagnosed, to prevent progression to other serious liver conditions. Saturated fat essentially clogs up insulin receptors, meaning that insulin becomes less effective. gallbladder fossa fluid measures 5.5 x 7.8 x 5.9cm. doi: 10.1371/journal.pone.0252882. The https:// ensures that you are connecting to the Right side pain under ribcage, spreading to back throughout the day. Although fatty liver disease may progress, it can also be reversed with diet and lifestyle changes. The portal vein and hepatic veins are patent." Blood: "AST 40 _ ALT 89." 2 minths of indegestion issues. The liver is a resilient and adaptive organ and is able to heal, especially when fatty liver disease is treated in early stages. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Diagnosed in ER two weeks ago. Incorporate foods like beets, spinach, carrots, celery, sweet potato, apples, and berries into your diet. Find out about the nutrition bar that 98% of liver health experts would recommend! Citation, DOI & article data. Of 218 children and young adults, 20 (9.2%) met the CT criterion for focal fatty infiltration of the liver. This can occur in obesity, uncontrolled diabetes, hypercholeste Fatty liver is because of fat storage because of eating more than your body requires to function. This, in turn, leads to better blood flow and lower blood pressure. Keep your alcohol intake at a minimum or aim to cut it out of your diet altogether. What to Expect During Somnoplasty Surgery and Recovery, Do You Have a Normal Liver Size? The problem arises when the concentration of triglycerides exceeds the normal levels. Paulson EK, Baker ME, Spritzer CE, Leder RA, Gulliver DJ, Meyers WC. Al Fat sparing of surrounding liver from metastasis in patients with fatty liver: MR imaging with histopathologic correlation. Exercising more frequently helps reduce systemic inflammation while also encouraging weight loss and a healthy metabolism. Int J Chron Obstruct Pulmon Dis. Analysis of prostaglandin-endoperoxide synthase-2 gene polymorphisms and risk. A higher body mass index increases the likelihood that you will have fatty deposits in your liver. How do I know if I have fatty infiltration of the liver? The portal vein and hepatic veins are patent.". PubMed. A diagnosis of fatty liver disease requires that 5% of hepatocytes or liver cells are carrying excess fat. total protein 8.6 high. The gallbladder was dissected from the gallbladder fossa. Without intervention, fibrosis causes liver cirrhosis. Therefore the severity of fatty infiltration of the liver can be quite dangerous if left untreated. Find out more about saving content to Google Drive. sharing sensitive information, make sure youre on a federal Non-alcoholic steatohepatitis (NASH) is the first step in the progression of fatty liver disease. Recognition of this finding is important to prevent the erroneous belief that the region of sparing is itself a mass. Published online by Cambridge University Press: official website and that any information you provide is encrypted The Amsety teams mission is to raise awareness about liver health and nutrition. Yoo KD, Jun DW. Focal fatty sparing of the liver is the localized absence of increased intracellular hepatic fat, in a liver otherwise fatty in appearance i.e. In the portal venous and late phase the lesion will never demonstrate washout and should remain isoenhancing compared to the surrounding normal liver 6. 1993 Nov;13(6):1265-80. doi: 10.1148/radiographics.13.6.8290723. Steer clear of added sugars, saturated fat, trans fat, and artificial preservatives. Adenomatous changes are benign, due to a "polyp" that does not have any more ominous or pre cancerous features. Some bleeding was encountered due to traction on the liver. Dishing out money on an expensive gym membership is not the only way to lose weight and get the exercise you need. The hemodynamics in focal steatosis and focal spared lesions in nondiffuse fatty liver can be observed using low-invasive procedures in real-time by CEUS. Careers. Jamal MH, Rayment JH, Meguerditchian A et-al. Hepatic steatosis occurs when intrahepatic fat is 5% of liver weight. 2021 Jun 8;16(6):e0252882. 2010; 3. Find Out How Protein Is Vital for Metabolism and Liver Health, What to Do If You Have Hepatic Encephalopathy, Signs You May Have an Amino AcidDeficiency, How to Live to 100: What You Can Do to Increase Longevity. 024H CHF Kerley b CXR CT. 025H Sickle Cell Disease CHF Auto Splenectomy Bone Disease. In some cases, your physician may prescribe medications like metformin and statins to help concurrent metabolic conditions like insulin resistance and high cholesterol. Unauthorized use of these marks is strictly prohibited. Having lean muscle mass boosts your resting metabolic rate and helps promote healthy metabolic functioning. The liver responds very favorably to reduced or eliminated alcohol intake. Research has found that adding just as little as 30 minutes of physical activity to your daily routine can go a long way. To effectively prevent and reverse fatty liver disease, its important to understand the causal factors fueling its development. 023H Takotsubo and a Police Visit. 1993 Jul-Aug;17(4):590-5. Such atypical nodular focal fatty sparing may result in lesions that are hypoechoic at ultrasound and hyperdense at CT and may be mistaken for metastases or . Tiyarattanachai T, Apiparakoon T, Marukatat S, Sukcharoen S, Geratikornsupuk N, Anukulkarnkusol N, Mekaroonkamol P, Tanpowpong N, Sarakul P, Rerknimitr R, Chaiteerakij R. PLoS One. During the early stages, fatty liver disease often exhibits no symptoms. Sometimes, fatty infiltration of the liver is focal and occasionally, it is generalized with focal sparing of the normal liver tissue creating some problems in the diagnosis. FOIA The likelihood of developing fatty liver disease is influenced in part by genetics. According to the American Liver Foundation, fatty liver disease occurs when more than 5% 10% of the liver is made up of fat. Stress is also a major DNA-methylator that can negatively impact many normal biological functions. and transmitted securely. The most common causes are obesity, diabetes mellitus, high alcohol consumption, and altered metabolism owing to chemotherapy. 63 (6): 382-5. (Log in options will check for institutional or personal access. (2011) Insights into imaging. Unable to process the form. It can also be caused by high Hi! what could this mean? We often found a high attenuation region around the gallbladder bed in the fatty liver patients on CT examination. But the heritability of fatty liver is not so simple to determine. If you cons What does diffuse fatty infiltration of the liver mean? To learn more, please visit our. I have a long time till follow up appointments, so I'm looking for a little bit of hope. Always make sure that you have discussed a plan with your healthcare provider. Progressed forms of fatty liver disease include: Determining the causes of hepatic steatosis is crucial to successfully treating and reversing the condition, in order to prevent progression to more serious stages. In the second part, the 301 participants with nonalcoholic diffuse homogeneous fatty liver (205 men and 96 women; mean age, 39.6 10.4 years; range, 18-60 years) were followed. Although fatty infiltration of the liver can remain stable for many years, if left untreated it can progress to cirrhosis. This however shows certain anatomical predilection within the liver, namely the gallbladder fossa, subcapsular region, adjacent to the portal vein, or falciform ligament [5]. A recent CT scan showed this "probable" focal fatty infiltration. Your physician may also refer you to a specialist in the field of hepatology, also called a hepatologist. Incorporating more activity into your day has numerous benefits for your health, including your liver. No focal lesion was seen. Why does the radiologist say "probable"? The management of nonalcoholic fatty liver disease depends primarily on making changes to your diet and lifestyle. The liver demonstrates mild diffuse increased echogenicity, most consistent with fatty liver infiltration or fibrosis." Before ), Ultrasonographic hepatic pseudolesions: normal parenchyma mimicking mass lesions in fatty liver, Hepatic pseudotumor due to nodular fatty sparing: the diagnostic role of opposed-phase MRI, Focal fatty liver sparing lesion presenting as a pseudotumour: case report, Find out more about saving to your Kindle, Book: Pearls and Pitfalls in Abdominal Imaging, Chapter DOI: https://doi.org/10.1017/CBO9780511763229.020.