Multiple hepatic nodules 20140527 answer

20140407  Multiple hepatic nodules  : Answer




Key words: VMC, von Meyenburg’s complex, biliary hamartoma,  胆管過誤腫、胆管性過誤腫, comet-tail sign, DWI, diffusion weighted imaging, APKD

Key images:

80-year-old man with VMC or biliary hamartoma.


201405 VMC key image US 201405 VMC key image MRI 201405 VMC key image CT 201405 VMC key image Pathology 201405 VMC key image CT findings 201405 VMC key image MRI findings 201405 VMC key image differential diag.



1) Luo TY, Itai Y, Eguchi N, et al.

Von Meyenburg complexes of the liver: imaging findings.

J Comput Assist Tomogr. 1998:22:372-378


2) Lung PF, Jaffer OS, Akbar N,et al.

Appearances of von meyenburg complex on cross sectional imaging.

J Clin imaging Sci. 2013 May 31;3:22. doi: 10.4103/2156-7514.112804. Print 2013.


3) Semelka RC, Hussain SM, Marcos HB, et al.

Biliary hamartomas: solitary and multiple lesions shown on current MR techniques including gadolinium enhancement.

J MagnReson Imaging. 1999: 10: 196-201


4) MorteléB, Mortelé K, Seynaeve P, et al.

Hepatic bile duct hamartomas (von Meyenburg Complexes): MR and MR cholangiography findings.

J Comput Assist Tomogr.  2002 May-Jun;26(3):438-43.


5)  Lev-ToaffAS, Bach AM, Wechsler RJ, et al.

The radiologic and pathologic spectrum of biliary hamartomas.

AJR Am J Roentgenol.  1995 Aug;165(2):309-13.


6)  Maher MM, DervanP, Keogh B, et al.

Bile duct hamartomas (von Meyenburg complexes): value of MR imaging in diagnosis.

Abdom Imaging. 1999 Mar-Apr;24(2):171-3.


Liver case 13 answer

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Key images: クリックすると拡大します


US1Plain CT during biopsyEnhanced CTMRI 1MRI 2Plain film ChestChest CTChest CT 2

Key words:

Sarcoidosis, サルコイドーシス、類上皮非乾落性肉芽腫性疾患、肝脾サルコイドーシス、ACE, CD4/CD8, Panda sign, Hepatic sarcoidosis, Splenic sarcoidosis


Warshauer DM, et al. Nodular sarcoidosis of the liver and spleen: analysis of 32 cases. Radiology 1995; 195: 757-762

Elsayes KM, et al. MR imaging of the spleen: spectrum of abnormalities. Radiographics. 2005 ; 25(4):967-82.

 Sakai T, et al. MR imaging of hepatosplenic sarcoidosis. Radiat Med. 1995 Jan-Feb;13(1):39-41.

 Koyama T, et al. Rdiologic manifestations  of sarcoidosis in varisou organs. Radiographics. 2004 24: 87-104

 Warshauer DM, et al. Nodular sarcoidosis of the liver and spleen: appearance on MR images. J Magn Reson Imaging. 1994 Jul-Aug;4(4):553-7.

 Kessler A, et al. Hepatic and splenic sarcoidosis: ultrasound and MR imaging. Abdom Imaging. 1993;18(2):159-63.