Hepatosplenic Sarcoidosis: Contrast-Enhanced Ultrasound Findings and Implications for Clinical Practice

Figure 1

A 51-year-old woman with diagnosis of pulmonary sarcoidosis, who presented with dyspepsia. (a) B-mode US showed diffuse liver hyperechogenicity suggestive of fatty liver disease and a hypoechoic lesion in the hepatic segment I (arrow). The lesion was in close contiguity with inferior vena cava and had a maximum size of 51 mm. Imaging findings were suggestive of focal fatty sparing, but histopathological examination revealed noncaseating granulomas, suggesting liver involvement by sarcoidosis. Spleen was normal. (b) Color Doppler US showed no flow inside the nodule (arrow). (c) After six months of steroid therapy, the lesion was significantly reduced (arrow).