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AIM: To assess CT,MR manifestations and their diagnosticvalue in hepatic tuberculosis.METHODS: CT findings in 12 cases and MR findings in 4cases of hepatic tuberculosis proved by surgery or biopsywere retrospectively analyzed.RESULTS: (1) CT findings: One case of serohepatic typeof hepatic tuberculosis had multiple-nodular lesions in thesubcapsule of liver.Parenchymal type was found in 10cases,including multiple,miliary,micronodular and low-density lesions with miliary calcifications in 2 cases; singular,low-density mass with multiple flecked calcifications in 3cases; multiple cystic lesions in 1 case; multiple micronodularand low-density lesions fusing into multiloculated cystic massor “cluser” sign in 3 cases; and singular,macronodular andlow-density lesion with multiple miliary calcifications in 1case.One case of tuberculous cholangitis showed markeddilated intrahepatic ducts with multiple flecked calcificationsin the pore hepatis.(2) MR findings in 4 cases were hypointenseon both T1-weighted imagings and T2-weighted imagingsin one case,hypointense on T1-weighted imagings andhyperintense on T2-weighted imagings in 3 cases.EnhancedMR in 3 cases was slightly shown peripheral enhancementor with multilocular enhancement.CONCLUSION: Various types of hepatic tuberculosis havedifferent imaging findings,and typical CT and MR findingscan suggest the diagnosis.
AIM: To assess CT, MR manifestations and their diagnostic value in hepatic tuberculosis. METHODS: CT findings in 12 cases and MR findings in 4cases of hepatic tuberculosis proved by surgery or biopsywere retrospectively analyzed .RESULTS: (1) CT findings: One case of serohepatic typeof hepatic tuberculosis had multiple-nodular lesions in the subcapsule of liver. Parenchymal type was found in 10cases, including multiple, miliary, micronodular and low-density lesions with miliary calcifications in 2 cases; singular, low-density mass with multiple flecked calcifications in 3cases ; multiple cystic lesions in 1 case; multiple micronodularand low-density lesions fusing into multiloculated cystic massor “cluser” sign in 3 cases; and singular, macronodular andlow-density lesion with multiple miliary calcifications in 1case. One case of tuberculous cholangitis showed markeddilated intrahepatic ducts with multiple flecked calcificationsin the pore hepatis. (2) MR findings in 4 cases were hypointenseon bo th T1-weighted imagings and T2-weighted imagings in one case, hypointense on T1-weighted imagings and hyperintense on T2-weighted imagings in 3 cases. Enhanced dMR in 3 cases was slightly shown peripheral enhancementor with multilocular enhancement. CONCLUSION: Various types of hepatic tuberculosis have different imaging findings, and typical CT and MR findings suggest the diagnosis.