Case 170: Steatosis / Steatohepatitis
62 year old woman with hepatitis C.
CT: Lobar distribution pattern of fat, pseudoseptations
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.