PMC3764957_01
CT enterography showing multiple small branching low-density areas in the inferior aspect of the right lobe (thick black arrows) and near the porta hepatis (thin black arrow).
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F1
Computed tomography (CT) enterography revealed active inflammation of the ileum as well as multiple small branching low-density areas in the inferior aspect of the right lobe of the liver and near the porta hepatis, suggestive of small fluid collections versus thrombosed peripheral veins (fig. 1).
Liver ultrasound showing small echogenic areas near the porta hepatis (thin white arrow) and the inferior aspect of the right lobe of the liver (thick white arrows), consistent with focal fatty infiltration.
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PMC3764957_01_crg-0007-0327-g02.jpg
F2
To confirm our working diagnosis, a liver ultrasound with Doppler was performed and demonstrated several small, ill-defined, echogenic areas near the porta hepatis and in the inferior aspect of the right lobe of the liver, corresponding to the low attenuation area on the CT enterography, with sonographic appearance most consistent with focal fatty infiltration (fig. 2), and a patent portal vein.