MAGNETIC RESONANCE IMAGING IN TUBERCULOUS LIVER INVOLVEMENT
Surovcev E.N.1,2, Kapishnikov A.V.1, Pyshkina Yu.S.1
1 - Samara State Medical University. Samara, Russia.
2 - Berezin Sergey Medical Institute. Tolyatti, Russia.
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urpose. To describe the magnetic resonance imaging (MRI) findings and the features of differential diagnosis in micronodular tuberculous liver involvement.
Materials and Methods. A clinical case of a female patient with hepatic tuberculosis is presented. A comparison was made between the magnetic resonance imaging findings of liver changes in this patient and other most common focal pathological processes in the liver tissue
Results. A comprehensive analysis of MRI data in different sequences, the patient’s objective statu, and complaints allowed the radiologist to perform differential diagnosis of focal liver lesions and recommend further examination. As a result, an accurate diagnosis was established, and etiotropic treatment was initiated. The presence of a typical computed tomography pattern of pulmonary tuberculosis, the detection of acid-fast mycobacteria in sputum and positive dynamics following specific therapy reliably confirmed the tuberculous etiology of liver involvement.
Discussion. The nonspecific clinical manifestations, limited microbiological testing options (necessitating biopsy) and low prevalence of such condition complicate the diagnosis of tuberculous liver involvement. The variability of clinical presentation increases the importance of imaging data in detecting this pathology. A diagnostic challenge lies in the similarity of MRI semiotics with other, more common focal liver lesions, such as cysts, metastatic disease and abscesses, making it impossible to reliably diagnose this condition based solely on visual findings without considering clinical data.
Conclusion. This clinical case demonstrates the importance of a comprehensive approach in interpreting MRI data, where, in addition to analyzing imaging signs of pathological changes, the radiologist should consider the patient’s medical history and clinical examination results, especially in complex differential diagnosis scenarios.
Keywords: tuberculosis, hepatic tuberculosis, magnetic resonance imaging, differential diagnosis, cyst, metastases, abscess.
Corresponding author: Pyshkina Yu.S., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Surovcev E.N., Kapishnikov A.V., Pyshkina Yu.S. Magnetic resonance imaging in tuberculous liver involvement. REJR 2025; 15(3):267-279. DOI: 10.21569/2222-7415-2025-15-3-267-279.
Received: 10.04.25 Accepted: 30.10.25