作者: CLINT W. SLIKER , STUART E. MIRVIS , K. SHANMUGANATHAN , CRISTOPHER A. MEYER
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摘要: appearance of the lesions and heterogeneous enhancement were quite consistent with spectrum CT findings that has been described. The MR following intravenous contrast similar to those observed on CT. Contrary our expectation, not well seen T2 weighted images. Post-gadolinium images more helpful sensitive. It is also interesting follow-up MRI was essentially unchanged. Lack evolution study may be temporal. Most previously described patients liver infarction had transplanted livers or surgical intervention. These underwent closer imaging likely demonstrate lesion evolution. In case we described, infarcts probably subacute chronic given indolent clinical course over weeks. aetiology for thrombotic angiitis in patient most allergic reaction hypersensitivity type pathogenesis. possible offending allergen patient’s medication. favourable response steroids further supports such aetiology. manufacturer (Zeneca Pharmaceuticals, Wilmington, Delaware, U.S.A.) unaware any other reported cases vasculitis secondary goserelin acetate administration. Even when strong suspicion exists, ultrasound, which frequently initial performed abnormal function tests, unlikely diagnostic. should noted even CT, are rather nonspecific. Differential diagnosis includes infectious, inflammatory neoplastic disease. Indeed, common multiple hepatic neoplastic, typically metastatic. based previous skin biopsy, suspected, however, disseminated infection strongly considered, prompting biopsy. We agreement others (2) unless peripheral wedge-shaped, a setting suspected infection, biopsy indicated.