Clinical Imaging 2004-01-01

Confluent hepatic fibrosis as the presenting imaging sign in nonadvanced alcoholic cirrhosis.

Nikolaos L Kelekis, Eirini Makri, Aikaterini Vassiou, Kalliopi Patsiaoura, Michalis Spiridakis, Georgios N Dalekos

Index: Clin. Imaging 28(2) , 124-7, (2004)

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Abstract

Confluent hepatic fibrosis (CHF) is usually a feature of advanced cirrhosis, while occurrence in early stage compensated cirrhosis is uncommon. We report the imaging findings of masslike CHF in a patient with previously unsuspected compensated alcoholic cirrhosis. The combination of partially wedge shape, minimal capsular retraction, and homogeneous delayed enhancement on multiphase contrast-enhanced spiral CT led to the characterization of the lesions and establishment of the diagnosis of cirrhosis.