CT and MR imaging of postnecrotic liver scars

J Comput Assist Tomogr. 1988 Nov-Dec;12(6):971-5. doi: 10.1097/00004728-198811000-00012.

Abstract

Four cases of postnecrotic liver scar were examined by dynamic CT or MR imaging or both. Postnecrotic scars appeared as low-density areas on plain CT, showed marked and prolonged enhancement on single level dynamic CT, and became isodense on postcontrast scan. On T2-weighted images, postnecrotic scar were as hyperintense as the spleen. Postnecrotic liver scar is an example of localized attenuation or intensity difference not corresponding to mass lesion. It should be distinguished from mass lesions associated with lobar or segmental attenuation (or intensity) difference of the liver as well as nonmass lesions such as irregular fatty infiltration, radiation hepatitis, and hepatic infarction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cicatrix / diagnosis*
  • Cicatrix / etiology
  • Female
  • Hepatitis / complications
  • Humans
  • Liver / diagnostic imaging
  • Liver / pathology*
  • Magnetic Resonance Imaging*
  • Middle Aged
  • Necrosis / diagnosis
  • Necrosis / etiology
  • Tomography, X-Ray Computed*