Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Solitary Necrotic Nodules of the Liver Mimicking Hepatic Metastasis: Report of Two Cases

  • Kwon-Ha Yoon (Department of Radiology, Wonkwang University School of Medicine) ;
  • Ki Jung Yun (Department of Pathology, Wonkwang University School of Medicine) ;
  • Jung-Min Lee (Department of Radiology, Chunbuk National University Medical School) ;
  • Chang Guhn Kim (Department of Radiology, Wonkwang University School of Medicine)
  • Received : 2000.01.21
  • Accepted : 2000.06.07
  • Published : 2000.09.30
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Abstract

We present two cases of solitary necrotic nodules of the liver which on radiologic images mimicked hepatic metastasis. Solitary necrotic nodule of the liver is a rare but benign entity which histopathologically consists of an outer fibrotic capsule with inflammatory cells and a central core of amorphous necrotic material. The lesion was seen on contrast-enhanced CT as an ovoid-shaped hypoattenuating nodule; on CT during hepatic arteriography as enhancing nodule; on intraoperative US as a target-appearing hypoechoic nodule; on T2WI as a hyperintensity nodule, and on dynamic MR as a subtle peripheral enhancing nodule. Although the radiologic features are not specific, solitary necrotic nodule of the liver should be included in the differential diagnosis of hepatic metastasis.

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References

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