Vanishing Liver Lesions: Sounds Ultraconfusing?

Excerpt

A 54-year-old morbidly obese diabetic male was initially evaluated for a 6-month history of abdominal distension. He did not seek medical attention until he began to experience fatigue, weakness, and cold sweats. He had no history of liver or kidney disease and had never abused alcohol. Physical examination was notable for his being afebrile and hemodynamically stable. His body mass index (BMI) was 47.5 kg/m²; noted were scleral icterus, spider angiomata, and a markedly distended abdomen, with the liver edge palpable 3 cm below the right costal margin and the upper limit of hepatic dullness in the fourth right intercostal space. The spleen could not be palpated; no clinical evidence of ascites was noted. …