Drug Induced Atypical Multifocal Variant of Fatty Liver Disease Mimicking Metastatic Liver Disease

Oncology, Gastroenterology and Hepatology Reports ,2017,6,2,59-62.
Published:February 2017
Type:Case Report
Author(s) affiliations:

Cyriac Abby Philips1, Vivek Kasana2

1Department of Hepatology and Transplant Medicine, Institute of Liver and Biliary Sciences, New Delhi, INDIA.

2Department of Diagnostic and Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, INDIA.


Fatty infiltration of the liver commonly occurs in a diffuse pattern. However, in very rare presentation in the form of multiple focal lesions of the liver, mimicking metastases do occur. Accurate diagnosis is important to differentiate this condition from metastatic liver disease and hepatobiliary infections. We report a patient who consumed long term herbal remedies, presenting with multifical liver lesions that mimicked metastatic disease and in whom, specialized imaging and a needle biopsy proved the cause to be due to multifocal fatty infiltration of the liver.

Ultrasound image and corresponding MRI Axial Fiesta imaging