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"FOCAL FATTY INFILTRATION"

This is associated with obesity, diabetes and alcohol excess. CT •   ‘Geographic’ distribution of low density, typically in the gallbladder ...

This is associated with obesity, diabetes and alcohol excess.
CT

•  ‘Geographic’ distribution of low density, typically in the gallbladder fossa, adjacent to the falciform ligament or at the porta hepatis.
•  No enhancement or mass effect.

MRI

•  Geographic area of increased T1 signal, isointense/low T2 signal.
•  Signal loss on out-of-phase images.

• Adenomas and HCCs also lose signal on out-of-phase images—however, these display mass effect/displace vessels.