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만성 간 질환 환자에서 간 섬유화의 발견에 있어 CT와 MRI의 유용성은 여러 논문을 통해 알려져 있으나, CT와 MRI상 이상소견을 보이지 않으며 초음파 소견상으로만 이상소견을 보인 융합성 간 섬유화의 보고가 없다 [1, 2]. 저자들은 MRI와 CT에서는 이상 소견이 없었으나 초음파 검사에서만 고에코의 종괴로 발견되었고 조직 검사상 섬유화로 확인된 증례를 경험하였기에 보고한다.


The usefulness of CT and MRI in detection of confluent hepatic fibrosis in patients with chronic liver disease has been documented in several reports [1, 2]. However, to our knowledge, focal fibrotic change that was only detected on ultrasonography and missed by CT and MR imaging has not been reported. Therefore, we report a case of the pathologically proven focal hepatic fibrosis presenting as a hyperechoic mass that was detected only by ultrasonography and missed by CT and MRI.


The usefulness of CT and MRI in detection of confluent hepatic fibrosis in patients with chronic liver disease has been documented in several reports [1, 2]. However, to our knowledge, focal fibrotic change that was only detected on ultrasonography and missed by CT and MR imaging has not been reported. Therefore, we report a case of the pathologically proven focal hepatic fibrosis presenting as a hyperechoic mass that was detected only by ultrasonography and missed by CT and MRI.