Morphologic abnormalities of diffuse liver diseases at triphasic CT exam

Amjad Sattar; Binish Rasheed; Naureen Farhan; Mahnoor Hafeez; Saba Mughal

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Morphologic abnormalities of diffuse liver diseases at triphasic CT exam

Author(s)

Amjad Sattar Dow Institute of Radiology, DUHS, School of Public Health, Karachi, Pakistan

Binish Rasheed Dow Institute of Radiology, DUHS, School of Public Health, Karachi, Pakistan

Naureen Farhan Dow Institute of Radiology, DUHS, School of Public Health, Karachi, Pakistan

Mahnoor Hafeez Dow Institute of Radiology, DUHS, School of Public Health, Karachi, Pakistan

Saba Mughal Dow Institute of Radiology, DUHS, School of Public Health, Karachi, Pakistan

Abstract

Objective: To analyze the morphological abnormalities on Triphasic CT scan in patients with diffuse liver disease (DLD). Methodology: All patients who underwent the Triphasic CT study comprised the study population. Demographics, size and density of the liver, caudate-right lobe ratio (CRL) was noted. Biliary-hepatic vascular patency, hepatic venous outflow tract obstruction (HVOT), parenchymal abnormality, liver contour abnormalities, Right Posterior Hepatic Notch (PHNS) Sign, Peri-Portal Space (PPS) widening and liver segmental/lobar atrophy, if present was recorded. Results: The study had 270 participants. Chronic liver disease (CLD) was seen in 52.6%, BuddChiari syndrome (BCS) in 3.3% and hepatic steatosis (HS) in 4.8%. Patients who had heterogeneous or nodular liver texture, irregular or nodular margins and segmental/labor atrophy were more likely to have CLD. A statistically significant association of PPS widening and PHNS) with the CLD group of DLD compared to other groups (p=<0.001) and HS with the female gender (p=0.011). One-way ANOVA showed the highest mean liver size (18.44cm) for BCS and lowest mean liver size (15.10cm) for CLD. Conclusion: All the morphological abnormalities were well depicted at Triphasic CT exam. Chronic liver disease accounted for more than 4/5th of DLDs.

Publication Details

Page(s) 765-769

DOI DOI not available

Published Journal: Rawal Medical Journal, Volume: 46, Issue: 4, Year: 2021

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Keywords

Liver diseases, liver, Cirrhosis, biliary tract diseases, hepatic steatosis