Case 240:   Cirrhosis

Diagnostic Category:

Clinical Presentation:

48 year old man with acute lymphoblastic leukemia with incidental imaging finding. Patient has history of frequent blood transfusions.

CT: Cirrhosis with posterior hepatic notch sign

Imaging Findings:

Posterior hepatic notch sign in CT, typical for cirrhosis. The posterior notch sign is an indentation of the visceral hepatic surface between the hypertrophic caudate lobe and right lobar segments [1].

1. Ito K, Mitchell D. Right posterior hepatic notch sign: a simple diagnostic MR finding of cirrhosis. J Magn Reson Imaging 2003;18: 561–566.