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Elevated Liver Enzymes

A 62-year-old obese male with elevated liver enzymes underwent a right upper quadrant POCUS exam. The liver showed fatty changes with a hypoechoic caudate lobe (yellow arrow). Images courtesy of UltrasoundCases.info owned by SonoSkills   What is the most likely diagnosis? A. Liver metastases in caudate lobe B. Liver abscess in caudate lobe C. Fatty […]

A 62-year-old obese male with elevated liver enzymes underwent a right upper quadrant POCUS exam. The liver showed fatty changes with a hypoechoic caudate lobe (yellow arrow).

Images courtesy of UltrasoundCases.info owned by SonoSkills

 

What is the most likely diagnosis?

A. Liver metastases in caudate lobe
B. Liver abscess in caudate lobe
C. Fatty liver with focal sparing of the caudate lobe

 

Test your knowledge of POCUS of Hepatobiliary and Spleen with this knowledge check!


Answer:

Focal fat sparing areas may be seen sometimes in patients with fatty liver and appear normal in appearance on ultrasound as there is no fat deposition in those areas of the liver.

References
https://radiopaedia.org/articles/diffuse-hepatic-steatosis?lang=us

 

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