Case 169:   Steatosis / Steatohepatitis

Diagnostic Category:

Clinical Presentation:

60 year old man with alcoholism presents with abdominal pain.

CT: Diffuse distribution of hepatocytic fat.

Imaging Findings:

Unenhanced and portal venous phase CT reveals diffusely decreased attenuation of hepatic parenchyma due to steatosis. Note that in severe steatosis like in this case the sinuisoidal enhancement of the parenchyma on the portal venous phase is barely noticed.