Question:

Which of the following answer choices regarding the sonographic appearance of hepatic inflammatory pseudotumors are false?
1. Hepatic inflammatory pseudotumors may be hypoechoic, hyperechoic or complex.
2. Hepatic inflammatory pseudotumors typically have ill-defined margins.
3. Hepatic inflammatory pseudotumors may have heterogenous echotexture.
4. Hepatic inflammatory pseudotumors lack contrast enhancement.
5. Hepatic inflammatory pseudotumors may have internal septations.





Answer:

The correct answers for the question "Which of the following answer choices regarding the sonographic appearance of hepatic inflammatory pseudotumors are false?" are:

2. Hepatic inflammatory pseudotumors typically have ill-defined margins.

3. Hepatic inflammatory pseudotumors may have heterogenous echotexture.



Explanation
1. [Sonographically, hepatic IPTs demonstrate variable echogenicity. While hypoechoic lesions are more common, hyperechoic or complex lesions have been described.]

2. [These may have either ill- or well-defined peripheral margins with homogeneous or heterogeneous internal texture.]

3. [These may have either ill- or well-defined peripheral margins with homogeneous or heterogeneous internal texture.]

4. [Contrast enhanced, low mechanical index ultrasonography demonstrated that hepatic pseudotumors lack of enhancement in all phases of contrast.]

5. [Internal septations and posterior acoustic enhancement have been described.]



From the manuscript:
Inflammatory Pseudotumor of the Liver: A Rare Case of Recurrence Following Surgical Resection
Radiology Case. 2014 Mar; 8(3):23-30


This article belongs to the GI section.




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From the manuscript

Inflammatory Pseudotumor of the Liver: A Rare Case of Recurrence Following Surgical Resection

Free full text article: Inflammatory Pseudotumor of the Liver: A Rare Case of Recurrence Following Surgical Resection

Abstract
Inflammatory pseudotumor (IPT) of the liver is a rare, benign lesion that may be mistaken for malignancy. IPTs are difficult to diagnose due to non-specific clinical, laboratory and imaging features. We report the case of a 38-year old Asian male who presented with fatigue, weight loss and hepatomegaly. He was found to have a large hepatic IPT and underwent surgical resection; approximately two and a half years later, he developed acute cholangitis secondary to IPT recurrence. We present the imaging features of hepatic IPT using ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). We also review the literature on the diagnosis and management of this disease. The unique features of this case include the IPT`s recurrence following surgical resection, large size and multiple modalities presented.






References



1. Das Narla L, Newman B, Spottswood S, Narla S, Kolli R. Inflammatory Pseudotumors. RadioGraphics 2003 23:719-729
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Pack GT, Baker HW. Total right hepatic lobectomy: report of a case. Ann Surg 1953 138:253-258
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Ntinas A, Kardassis D, Miliaras D, Tsinoglou K, Dimitriades A, Vrochides D. Inflammatory pseudotumor of the liver: a case report and review of the literature. J Med Case Rep 2011 5:196
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Kawaguchi T, Mochizuki K, Kizu T. Inflammatory pseudotumor of the liver and spleen diagnosed by percutaneous needle biopsy. World J Gastroenterol 2012 18:90-95
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Al-Jabri T, Sanjay P, Shaikh I, Woodward A. Inflammatory myofibroblastic pseudotumor of the liver in association with gall stones - a rare case report and brief review. Diagn Pathol 2010 5:53
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Kim K, Kim K, Park S. Unusual mesenchymal liver tumors in adults: radiologic-pathologic correlation. AJR 2006 187:W481-9
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Milias K, Madhavan KK, Bellamy C, Gerden OJ, Parks RW. Inflammatory Pseudotumors of the Liver: Experience of a Specialist Surgical Unit. Journal Gastroenterol and Hepatol 2009 24:1562-1566
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Nam KJ, Kang HK, Lim JH. Inflammatory Pseudotumor of the Liver: CT and Sonographic Findings. AJR 1996 167
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Zamir D, Jarchowsky J, Singer C. Inflammatory Pseudotumor of the Liver - A Rare Entity and a Diagnostic Challenge. Am J Gastroenterol 1998 93:1538-1540
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Horiuchi R, Uchida T, Kojima T, Shikita T. Inflammatory pseudotumor of the liver: Clinicopathologic study and review of the literature. Cancer 1990 65:1583-1590
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Koea JB, Broadhurst GW, Rodgers MS, McCall JL. Inflammatory Pseudotumor of the Liver: Demographics, Diagnosis, and the Case for Nonoperative Management. J Am Coll Surg 2003 196:226-235
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Tang L, Lai EC, Cong WM. Inflammatory myofibroblastic tumor of the liver: a cohort study. World J Surg 2010 34:309-313
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Yoon KH, Ha HK, Lee JS. Inflammatory Pseudotumor of the Liver in Patients with Recurrent Pyogenic Cholangitis: CT- Histopathologic Correlation. Radiology 1999 211:373-379
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Fukuya T, Honda H, Matsumata T. Diagnosis of Inflammatory Pseudotumor of the Liver: Value of CT. AJR 1994 163:1087-1091
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Faraj W, Ajouz H, Mukherji D, Kealy G, Shamseddine A, Khalife M. Inflammatory pseudotumor of the liver: a rare pathologic entity. World J Surg Pathol 2011 9:5
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Herek D and Karabulut N. Hepatobiliary and Pancreatic: Inflammatory pseudotumors of the liver. J Gastroenterol and Hepatol 2011 26:1217
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Abehsera M, Vilgrain V, Belghiti J, Flejou JF, Nahum H. Inflammatory pseudotumor of the liver: radiologic-pathologic correlation. JCAT 1995 19:80-83
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Lim JH, Lee JH. Inflammatory pseudotumor of the liver: ultrasound and CT features. Clin Imaging 1995 19:43-46
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Anderson SW, Kruskal JB, Kane RA. Benign Hepatic tumors and Iatrogenic Pseudotumors. RadioGraphics 2009 29:211-229
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


21. Caramella T, Novellas S, Foumol M, Saint-Paul MC, Bruneton JN, Chevallier P. Imaging of Inflammatory pseudotumors of the liver. J Radiol 2007 88:882-888
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


22. Ding H, Wang WP, Huang BJ. Imaging of Focal Liver Lesions: Low-Mechanical-Index Real-time Ultrasonography with SonoVue. J Ultrasound Med 2005 24:285-297
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


23. Tsou YK, Lin CJ, Liu NJ, Lin CC, Lin CH, Lin SH. Inflammatory pseudotumor of the liver: Report of eight cases, including three unusual cases, and a literature review. J Gastroenterol and Hepatol 2007 22:2143-2147
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


24. Chong A, Young S, Min JJ. Inflammatory pseudotumors resembling multiple hepatic mestastases and their complete regression as revealed by 18F-FDG PET/CT. E J Nucl Med 2009 36: (7):1199-2000
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


25. Kawamura E, Habu D, Tsushima H. A case of hepatic inflammatory pseudotumor identified by FDG-PET. Ann Nucl Med 2006 20:321-323
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


26. Yu JS, Park C, Kim JH, Chung JJ, Kim KW. Inflammatory Myofibroblastic Tumors in the Liver: MRI of Two Immunohistochemically-Verified Cases. JMRI 2007 26:418-421
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


27. Materne R, Van Beers BE, Gigot JF, Horsmans Y, Lacrosse M, Pringot J. Inflammatory pseudotumor of the liver: MRI with mangafodipir trisodium. JCAT 1998 22:82-84
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


28. Yan FH, Zhou KR, Jiang YP, Shi WB. Inflammatory pseudotumor of the liver: 13 cases of MRI findings. World J Gastroenterol 2001 7:422-424
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


29. Mortele KJ, Wiesner W, de Hemptinne B, Elewaut A, Praet M, Ros PR. Multifocal inflammatory pseudotumor of the liver: dynamic gadolinium-enhanced, ferumoxides-enhanced, and mangafodipir trisodium-enhanced MR imaging findings. Eur Radiol 2002 12:304-308
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


30. Goldsmith PJ, Loganathan A, Jacob M. Inflammatory pseudotumors of the liver: A spectrum of presentation and management options. E J Surg Oncol 2009 35:1295-1298
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


31. Zavaglia C, Barberis M, Gelosa F. Inflammatory pseudotumor of the liver with malignant transformation: Report of two cases. Ital J Gastroenterol 1996 28:152-59
Get full text
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