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The British Journal of Radiology, Vol 70, Issue 840 1293-1295, Copyright © 1997 by British Institute of Radiology
ARTICLES |
TC Tan, AY Cheung, WY Wan and TC Chen
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Linkou Medical Centre, Taoyuan, Taiwan, Republic of China.
An unusual case of hepatic macronodular tuberculoma is presented. As demonstrated by CT, the tuberculoma replaced the entire lateral segment of the left lobe of liver and resembled an infiltrative tumour. On ultrasound, the tuberculoma presented as a hyperechoic lesion, in contrast to a round hypoechoic mass which is usually seen in this condition. Hepatic macronodular tuberculomas are not uncommonly misdiagnosed as primary or secondary liver tumours by imaging studies, and the definite diagnosis is usually established by liver biopsy. The prognosis of hepatic macronodular tuberculoma is usually very good with effective treatment.
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