Caramella T, Fuerxer F, Chevallier P, Cua E, Saint Paul M C, Dausse F, Novellas S, Gueyffier C, Brunner P, Bruneton J N
Service d'Imagerie Médicale (Pr Bruneton), Centre Hospitalier Universitaire de Nice, Hôpital Archet II, Nice, France.
J Radiol. 2007 Jan;88(1 Pt 1):47-51. doi: 10.1016/s0221-0363(07)89788-5.
Hepatic macronodular mycobacteriosis is rare. Its diagnosis is challenging and is most often proposed on the basis of histological analysis. Final diagnosis, except for germ-proven cases, is made in conjunction with clinical, biological, and radiological arguments. We retrospectively report the MR features of ten hepatic lesions discovered on five patients. MRI is sensitive but has a low specificity in demonstrating pseudotumoral lesions most often exhibiting hypointensity on the T1-weighted sequence, hyperintensity on the T2-weighted sequence, and a slight rim enhancement after gadolinium-enhanced T1-weighted sequences.
肝大结节性分枝杆菌病较为罕见。其诊断具有挑战性,多数情况下是基于组织学分析提出诊断。除了已证实有病原菌的病例外,最终诊断需结合临床、生物学和影像学依据。我们回顾性报告了5例患者中发现的10个肝脏病变的磁共振成像(MR)特征。磁共振成像在显示假瘤性病变方面很敏感,但特异性较低,这些病变在T1加权序列上大多表现为低信号,在T2加权序列上表现为高信号,在钆增强T1加权序列后有轻微边缘强化。