Radiographic findings of ischemic hepatitis in a cirrhotic patient

We report the radiographic findings of ischemic hepatitis in a patient with cirrhosis. The abdominal ultrasound exam showed multiple hypoechoic nodule s in the liver measuring up to 2 cm, suggestive of diffuse metastatic disea se. Abdominal computed tomography (CT) scan revealed multiple hypodense mas ses throughout the liver with no enhancement. Liver biopsy revealed coagula tive hepatocyte necrosis at the center of the regenerative nodules. Repeat CT scan obtained 5 months later showed complete resolution of the hypodense nodules. Ischemic necrosis of regenerative nodules should be differentiate d from diffuse hepatic metastatic disease in the setting of ischemic hepati tis in cirrhotic patients.