case_images: PMC9257931_01
case_images: Non-contrast CT imaging of the chest revealed a multinodular ('patchy') pattern of the lesions in the hepatic parenchyma.
case_images: SAJR-26-2410-g001.jpg
case_images: PMC9257931_01_SAJR-26-2410-g001.jpg
case_images: F0001
case_images: Vascular structures (hepatic veins and portal branches) traversed the nodules without disruption (Figure 1).
case_images: Contrast-enhanced abdominal MRI demonstrated a multinodular ('patchy') appearance in the hepatic parenchyma: (a) T2-weighted image; (b) in-phase gradient echo image; (c) T2-FatSat-weighted image; (d) out-of-phase gradient echo image; (e) T1-weighted 3D gradient echo LAVA-flex sequence (post-gadolinium) and (f) subtracted image.
case_images: SAJR-26-2410-g002.jpg
case_images: PMC9257931_01_SAJR-26-2410-g002.jpg
case_images: F0002
case_images: The lesions demonstrated no contrast enhancement or diffusion restriction and there was no mass effect from the foci (Figure 2).
case_images: Sectioned slides. Macrovesicular globules of fat, inflammation in the area of the periportal tract, focal fibrosis (hematoxylin and eosin, x 100).
case_images: SAJR-26-2410-g003.jpg
case_images: PMC9257931_01_SAJR-26-2410-g003.jpg
case_images: F0003
case_images: More than 66% of hepatocytes were affected, which corresponded to third-degree macrovesicular (large droplet) steatosis (Figure 3) - a very pronounced steatosis, but at the same time, the inflammatory changes are moderate.