双语病例Diffusefattyin

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病例选自《MayoClinicBodyMRICaseReview》

History

52-year-oldmanwithelevatedASTandALTlevels

52岁男性，AST、ALT升高

Fig2.2.12DSPGRIPandOPT1WI:

ImagingFindings

AxialIPandOPT1-weighted2DSPGRimages(Figure2.2.1)demonstratediffusehomogeneoussignallossonOPimages,consistentwiththepresenceofintravoxelfat.

横断位2DSPGR同反相位T1WI示肝脏反相位信号弥漫性均匀减低，提示肝内存在脂质成分。

Diagnosis

Diffusefattyinfiltrationoftheliver

肝脏弥漫性脂肪浸润

Comment

Thiscaseprovidesafairlytypicalexampleofdiffusefattyinfiltrationoftheliver.Hepaticsteatosis,fattyliver,andfattyinfiltrationoftheliverarealltermsusedinterchangeablybymostradiologists.Someauthorshaveobjectedtothetermfattyinfiltrationsincetheybelievethatthetermimpliesinfiltrationoffatbetweenhepatocytesratherthanaccumulationwithinhepatocytes,butthisexpressionissowidelyusedthatitseemsunlikelytodisappear.

本病例为一个相当典型的肝脏弥漫性脂肪浸润的病例。肝脏脂肪变性、脂肪肝、肝脏脂肪浸润在很多放射科医师认为是可以通用的术语，但有部分作者反对肝脏脂肪浸润这一术语，认为肝脏脂肪浸润这种说法会让人误认为脂肪存在与肝细胞间隙、而非肝细胞内。但这一说法使用已久，很难去改变了。

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