An inflammatory pseudotumor of the liver was discovered during a metastatic examination of a patient with rectal adenocarcinoma.
Magnetic resonance imaging showed a three-component lesion that infiltrated a large portal vein, and CT arteriography and
CT during arterial portography showed a portal obstruction. A histopathological examination proved that necrosis was present
in the central zone; infiltration by proliferating connective tissue with chronic inflammatory cells was prominent in the
middle zone; and fibrous changes, including pseudo-bile duct proliferation, were present in the peripheral zone. Magnetic
resonance imaging revealed both portal infiltration and histopathological features including the above-noted three components.
Magnetic resonance imaging is perhaps the most useful diagnostic modality.
Inflammatory pseudotumor Liver MR imaging CT Arterial portography CT arteriography
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