PEIR Digital Library

Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education.

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RADIOLOGY: ABDOMEN: Case# 33886: SARCOIDOSIS; DIFFUSE HEPATOSPLENOMEGALY. DIFFUSE ADENOPATHY. 43 year old man with recent cholecystectomy for cholecystitis. Recurrent right upper quadrant pain. Rule out liver abscess. History of Gauchers disease. 1. Status post recent cholecystectomy. No evidence of liver abscess or other intra-abdominal abscess. 2. Diffuse hepatosplenomegaly. Diffuse adenopathy. Focal low attenuation changes scattered throughout the liver and spleen. These findings probably represent sarcoidosis; other diffuse systemic abnormality is also a possibility. This would be an unusual presentation for Gauchers.