Case 170:   Steatosis / Steatohepatitis

Diagnostic Category:

Clinical Presentation:

62 year old woman with hepatitis C.

CT: Lobar distribution pattern of fat, pseudoseptations

Imaging Findings:

CT shows acute steatosis of the right lobe (biopsy proven). Mainly periportal fat deposition with less fatty parenchymal bridges (pseudoseptations).  Compare to random, non-vascular distribution pattern of hypovascular / avascular parenchyma in hepatocellular necrosis.

Last Image: Resolution of findings 9 months later, but interim development of cirrhosis.