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October 11, 2018

Image challenge: An unexpected incidental finding in a healthy recruit

What caused hundreds of subcentimeter liver foci in a 57-year-old asymptomatic man? 

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Gastroenterology clinical image challenge: A 57-year-old asymptomatic man with no medical history was recruited as a healthy control for a cardiac imaging study. Physical examination, including vital signs, was unremarkable. Blood counts and liver function tests were within normal limits. As part of the study evaluation, a cardiac computed tomography scan was performed showing incidental liver findings in the lower slices, followed by an abdominal magnetic resonance imaging with magnetic resonance cholangiopancreatography (Figure) showing hundreds of subcentimeter liver foci with prolonged relaxation characteristic, with the kidneys containing multiple T2 hyperintense cystic lesions. No other abnormalities were noted.


What is the diagnosis?


To find out the diagnosis, read the full case in Gastroenterology or download our Clinical Image Challenge app through AGA App Central, which features new cases each week. Sort and filter by organ, most popular or favorites. AGA App Central is available in both the Apple App Store and Google Play.


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