Confluent hepatic fibrosis

Discussion:

Patient with liver cirrhosis with multiple geographic areas of decreased density and hypoenhancement in portal venous phase that homogeneously enhance in delayed phase associated with multifocal areas of capsular retraction. CT features are mostly representing confluent hepatic fibrosis, one of the rare hepatic pseudolesions. It should carefully be differentiated from malignant hepatic lesions which are also sequels of liver cirrhosis.

Differential diagnoses include cholangiocarcinoma, infiltrative hepatocellular carcinoma and hepatic metastases.

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