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Multifocal nodular steatosis mimicking malignancy
  1. James Hong-En Kang,
  2. Jessica Sue-Yi Wong,
  3. Matthew Williams
  1. Gastroenterology, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK
  1. Correspondence to Dr James Hong-En Kang, Gastroenterology, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth NR31 6LA, UK; james.kang{at}nhs.net

http://dx.doi.org/10.1136/postgradmedj-2021-139915

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    A previously fit man presented with breathlessness. Chest radiography showed right lower lobe density. Liver function tests, coagulation studies and alphafetoprotein levels were unremarkable. The patient’s breathlessness self-resolved, but chest–abdomen–pelvis CT performed to exclude malignancy revealed multiple hypodense liver lesions concerning for metastases (figure 1). Ultrasound-guided percutaneous liver biopsy targeting these lesions was successfully carried out. Histology showed fatty change but no evidence of malignancy. To avoid the possibility of sampling …

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    Footnotes

    • Contributors MW examined the patient and conceived the idea for the case report. JH-EK wrote the first draft of the manuscript. MW, JH-EK and JS-YW reviewed and amended the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.