Not hepatic infarction: Cold quadrate sign.

Clin Imaging

Department of Radiology, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States of America. Electronic address:

Published: December 2020

A 50-year-old male presented with bilateral lower extremity plain is found to have a wedge-shape hypodense region in the hepatic quadrate lobe. The hypoenhancement was thought to be a result of systemic-portal venous shunting due to IVC obstruction, a "cold" version of the classically described hot quadrate sign. Follow-up CT confirmed the diagnosis. Venous drainage pathway for both hot and cold quadrate signs is discussed.

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http://dx.doi.org/10.1016/j.clinimag.2020.07.017DOI Listing

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