Response to letter on Caroli disease

Katabathina, Venkat S.; Kapalczynski, Wojciech J.; Menias, Christine O.

doi:10.1007/s00261-016-0783-y

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…The HNF-ɑ subtype, due to the presence of intracellular fat, can appear hyperintense on both T1W and T2W images with signal loss on chemical shift imaging. 35 Post-contrast enhancement on MRI is very similar to that of CECT ( Figure 14 ). Due to the presence of fat and arterial enhancement, these lesions have to be differentiated from fat-containing HCC.…”

Section: Hepatic Adenomamentioning

confidence: 59%

Benign paediatric liver tumours: The radiological maze demystified

Sherwani,

Kandasamy,

Sharma

et al. 2024

South African Journal of Radiology

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The trajectory from the clinical identification of a benign liver mass to establishing a precise diagnosis is perplexing and arduous. Related contributory factors are that such lesions are encountered infrequently and that there is a nonavailability of dedicated paediatric radiologists in the developing world. The objective of this study was to review the spectrum of benign liver lesions in children and their typical imaging features. Cross-sectional imaging of all paediatric patients ( 18 years) with liver lesions (single and multiple) performed in the institute from 01 January 2018 to 01 January 2019 as well as those acquired at outside institutions and referred to the institute for management was included. Ultrasound was done as the first line of investigation in all the cases with suspicious liver masses and retrospectively performed in referral cases in whom CT or MRI was already done. Images were analysed by two senior radiologists. Most of the cases were diagnosed based on clinical, biochemical and imaging findings, and biopsy was only performed in equivocal cases. Most of the benign liver lesions in the paediatric age group were hepatic haemangioma and mesenchymal hamartomas. A simplified clinical-radiologic paradigm should be established for benign liver lesions in children to assist in reaching the correct diagnosis.Contribution: The article demonstrates the salient radiological findings of various benign liver lesions in the paediatric age group and the role of demographic, clinical and biochemical findings, which plays a substantial role in the diagnosis and avoids unnecessary biopsies.

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Section: Hepatic Adenomamentioning

confidence: 59%