PMC7334768_01
Chest X-ray showing no abnormality or masses.
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The chest X-ray was normal, appearing with no remarkable findings (Figure 1); however, due to concern for cholecystitis, ultrasound of the abdomen was performed, and it reported that the patient had cholelithiasis with the heterogeneous liver.
Computed tomography (CT) abdomen showing hepatosplenomegaly, numerous hypodensities in the liver.
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Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
Computed tomography of the abdomen with contrast showing hepatosplenomegaly, numerous hypodensities in the spleen and ascites.
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Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
Computed tomography of the pelvis with contrast showing densities in the spleen.
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Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
Exploratory laparoscopy showing infiltrative lesions.
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Finally, exploratory laparoscopy (Figure 5) was performed to reveal the characteristics of the infiltrative lesions.
Histopathology showing noncaseating granulomas.
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Histopathology identified noncaseating granulomas along with changes of steatohepatitis (Figure 6).