Case list for Hepatitis, autoimmune
There is 1 CT case with this diagnosis.
Multiphase CT demonstrates innumerable calcified confluent hypodense hypovascular granulomas scattered through the liver parenchyma with left lobe predominance. Note the extrahepatic capsular abscesses and also obliteration of the left and middle hepatic veins. CT was initially felt to be suspicious for invasive primary or metastatic malignancy. Biopsy of the hypodense lesions and extrahepatic masses one day after this CT revealed hepatic parenchyma with marked inflammatory infiltrates, caseating granulomas, and mild bile duct proliferation, consistent with granulomatous hepatitis. Fungal, acid-fast bacteria, and stains were negative for organisms. Patient was negative for hepatitis A, B and C.