Clinical Presentation
A 56-year-old woman presents with abdominal pain.
Fig. 10.1 (A) Ultrasound image shows multiple hyperechoic foci in the liver. (B) Axial non-contrast-enhanced CT demonstrates multiple calcified lesions within the liver (arrow). In addition, calcified lymph nodes are seen in the peripancreatic and retroperitoneal location (dashed arrows).
Radiologic Findings
An ultrasound image shows multiple hyperechoic foci in the liver (Fig. 10.1). Axial non -contrast-enhanced computed tomography (CT) demonstrates multiple calcified lesions within the liver. In addition, calcified lymph nodes are seen in the peripancreatic and retroperational location.
Diagnosis
Calcified hepatic metastases in a patient with breast cancer
Differential Diagnosis
- Hepatocellular carcinoma or adenoma
- Granulomatous disease
- Echinococcal cysts
- Multiple calcified hemangiomas
- Treated lymphoma
- Treated metastases
- Peliosis hepatis
Discussion
Background
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