Multinodular fatty sparing.

a o i t l i a s [ M A 46 year-old woman was admitted for right hypochondriac pain. Reported antecedents included obesity and non insulin-dependent diabetes. She did not consume alcohol. Clinical examination showed no abnormality. Laboratory results, including hepatic tests and FP, were normal. Ultrasound revealed multiple hypoechoic hepatic nodules. On CT those nodules appeared with contrast enhancement during the arterial phase but did not wash out during the late phase (Fig. 1A and B). On MRI they were well delineated, homogeneous, without mass effect and enhancement was similar to that revealed on the CT. The opposed-phase sequence showed hepatic parenchyma with diffuse low signal intensity compared to the in-phase sequence (Fig. 2A and B). No other lesion was found. Biopsies were performed (Fig. 3). Anatomopathological examination showed microand macrovesicular steatosis with hepatocytic distension and lymphocytic infiltration to the right, and normal hepatic parenchyma to the left. Neither fibrosis nor tumor cells were present. Those data, combined with the patient’s history of