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Mass in a fatty liver
  1. Dirk J van der Windt1,
  2. Gregory C Wilson1,
  3. Ioannis A Ziogas1,
  4. Samer Tohme1,
  5. Alessandro Furlan2,
  6. Michael A Nalesnik3,
  7. David A Geller1
  1. 1Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  2. 2Department of Radiology, Abdominal Imaging Division, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  3. 3Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Dirk J van der Windt, University of Pittsburgh Medical Center, Liver Cancer Center, UPMC Montefiore 7 South, 3459 Fifth Ave, Pittsburgh, PA 15260, USA; vanderwindtd{at}

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A 39-year-old man was referred to our clinic for liver diseases for a liver mass incidentally found on CT done to rule out kidney stones (figure 1A). In our clinic, he was asymptomatic with regular bowel habits. He denied episodes of jaundice, did not have skin tattoos, never smoked or used illicit drugs and rarely consumed alcohol. His lifestyle was sedentary, and his diet consisted predominantly of fast food. His medical history included arterial hypertension and hyperlipidaemia. Several years prior, he had undergone a laparoscopic cholecystectomy. His obese abdomen (body mass index 36 kg/m2) was non-tender to palpation. On laboratory analysis, white blood cell count, haemoglobin, platelet count, bilirubin, liver transaminases and international normalised ratio (INR) were within …

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