Alcoholic liver disease CT: Difference between revisions
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==Overview== | ==Overview== | ||
Abdominal CT scan may be helpful in the diagnosis of alcoholic liver disease. Findings on CT scan suggestive of hepatic steatosis and cirrhosis may be seen. | |||
==CT scan== | ==CT scan== | ||
* | *Findings on CT scan suggestive of alcoholic liver disease include: | ||
**Non-contrast CT scan for detecting hepatic steatosis:<ref name="pmid4058482">{{cite journal |vauthors=Soliman R, Saad MA, Refai M |title=Studies on histoplasmosis farciminosii (epizootic lymphangitis) in Egypt. III. Application of a skin test ('Histofarcin') in the diagnosis of epizootic lymphangitis in horses |journal=Mykosen |volume=28 |issue=9 |pages=457–61 |year=1985 |pmid=4058482 |doi= |url=}}</ref><ref name="pmid6934563">{{cite journal |vauthors=Piekarski J, Goldberg HI, Royal SA, Axel L, Moss AA |title=Difference between liver and spleen CT numbers in the normal adult: its usefulness in predicting the presence of diffuse liver disease |journal=Radiology |volume=137 |issue=3 |pages=727–9 |year=1980 |pmid=6934563 |doi=10.1148/radiology.137.3.6934563 |url=}}</ref> | **Non-contrast CT scan for detecting hepatic steatosis:<ref name="pmid4058482">{{cite journal |vauthors=Soliman R, Saad MA, Refai M |title=Studies on histoplasmosis farciminosii (epizootic lymphangitis) in Egypt. III. Application of a skin test ('Histofarcin') in the diagnosis of epizootic lymphangitis in horses |journal=Mykosen |volume=28 |issue=9 |pages=457–61 |year=1985 |pmid=4058482 |doi= |url=}}</ref><ref name="pmid6934563">{{cite journal |vauthors=Piekarski J, Goldberg HI, Royal SA, Axel L, Moss AA |title=Difference between liver and spleen CT numbers in the normal adult: its usefulness in predicting the presence of diffuse liver disease |journal=Radiology |volume=137 |issue=3 |pages=727–9 |year=1980 |pmid=6934563 |doi=10.1148/radiology.137.3.6934563 |url=}}</ref> | ||
***Macroscopic fat in the liver | ***Macroscopic fat in the liver | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Abdominal CT scan may be helpful in the diagnosis of alcoholic liver disease. Findings on CT scan suggestive of hepatic steatosis and cirrhosis may be seen.
CT scan
- Findings on CT scan suggestive of alcoholic liver disease include:
- Non-contrast CT scan for detecting hepatic steatosis:[1][2]
- Macroscopic fat in the liver
- Liver to spleen attenuation ratio greater than ten hounsfield units indicates hepatic steatosis
- Cirrhosis:[3]
- Atrophy of the right lobe of the liver
- Hypertrophy of the caudate lobe of the liver
- Hypertrophy of the lateral segment of the left lobe
- Parenchymal nodularity
- Attenuation of hepatic vasculature
- Splenomegaly
- Venous collaterals
- Ascites
- Non-contrast CT scan for detecting hepatic steatosis:[1][2]
References
- ↑ Soliman R, Saad MA, Refai M (1985). "Studies on histoplasmosis farciminosii (epizootic lymphangitis) in Egypt. III. Application of a skin test ('Histofarcin') in the diagnosis of epizootic lymphangitis in horses". Mykosen. 28 (9): 457–61. PMID 4058482.
- ↑ Piekarski J, Goldberg HI, Royal SA, Axel L, Moss AA (1980). "Difference between liver and spleen CT numbers in the normal adult: its usefulness in predicting the presence of diffuse liver disease". Radiology. 137 (3): 727–9. doi:10.1148/radiology.137.3.6934563. PMID 6934563.
- ↑ Rofsky NM, Fleishaker H (1995). "CT and MRI of diffuse liver disease". Semin. Ultrasound CT MR. 16 (1): 16–33. PMID 7718279.