TO ASSESS ITS ROLE IN CHARACTERIZING THE FOCAL LIVER LESIONS INTO THE VARIOUS TYPES USING THE MORPHOLOGY AND CONTRAST ENHANCEMENT PATTERNS OF THE LESIONS
Keywords:liver, morphology, lesions & focal.
Background & Method: This prospective study was done in the Radio diagnosis Department of Government Medical College, Nagpur, Maharashtra, India. A total of 200 patients who were referred to our department with strong clinical suspicion of focal liver lesion and those diagnosed by ultrasonography underwent multiphasic contrast enhanced CT evaluation of abdomen using 64 Multi slice Spiral CT scanner.
Result: Final diagnosis was obtained by surgery/ biopsy/ follow up imaging. Among the cystic lesions simple cyst and hydatid cyst had 100% accuracy. One lesion diagnosed as liver abscess turned out to be cystic metastases from GB mass. Metastases, hemangioma and HCC were themost common of the solid lesions seen in decreasing order of frequency. Among metastases diagnosed by CT, one case turned out to be FNH and one turned out to be granulomatous (tubercular) lesion. Among HCC diagnosed by CT, one turned out to be regenerative nodule and another turned out to be hemangioma.
Conclusion: In our investigation found among strong injuries, the most well-known irregularity distinguished was metastases seen in around a large portion of the cases followed by HCC & hemangioma. The exactness of Contrast Enhanced Multiphasic Multi Detector Computed Tomography in detecting and characterizing focal liver lesions is high and it should be considered in the imaging work up of any patient with focal liver lesions.
Keywords: liver, morphology, lesions & focal.
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