(Downloading may take up to 30 seconds. If the slide opens in your browser, select File -> Save As to save it.)
Terms and Conditions for Use
Click on image to view larger version.
View larger version (169K)
Figure 2. Coronal (A, B) and transverse (C, D) MR images in 58-year-old woman with biopsy-proved alcoholic cirrhosis (patient 2). In-phase images (A, C) were obtained with 204/4.76 (repetition time msec/echo time msec) and a flip angle of 30°. Opposed-phase images (B, D) were obtained with 204/2.65 and a flip angle of 30°. Fatty tissue (arrows) surrounding the hepatic veins is subtly hyperintense on in-phase images and shows unequivocal signal loss on opposed-phase images, features that confirm perivascular fatty infiltration of the liver. The apparent affinity of infiltration for the upper liver segments as opposed to the lower ones on these images is related to section selection; perivenous fatty infiltration of the liver involved all liver segments. Halos that surround hepatic veins in the imaging plane (coronal images) are tramlike, and those that surround veins perpendicular to the imaging plane (transverse images) are ringlike or round. Note also the evidence of perihepatic ascites on all images.
