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Image of the Month – March 2026

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March 2026 - Image of the Month

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A 72 year old female patient is sent for a Liver Doppler ultrasound, and marking for paracentesis.

During the study we obtained the images above - what is your diagnosis?

 

2 / 3

A 72 year old female patient is sent for a Liver Doppler ultrasound, and marking for paracentesis.

 

Could you say with this image it corresponds to:

 

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A 72 year old female patient is sent for a Liver Doppler ultrasound, and marking for paracentesis.

Do you agree it corresponds to Riedel's Lobe?

 

Riedel’s lobe is an anatomical variant of the liver.  Originally described in 1988 by the German surgeon Bernhard Moritz Carl Ludwig Riedel (1849-1916) As demonstrated in the image the right hepatic vein is continuous with the hepatic parenchyma, confirming the absence of a focal mass.

In this patient, the presence of ascites allows for clearer visualization of this variant. Riedel’s lobe is more commonly observed in female patients and may occasionally be mistaken for a hepatic mass or hepatomegaly.

Reference article

Bruno, João & Rocha, Oliveira & Porto, Ítalo & Felipe, João & Tomaz, Marti & Araújo, Moysés & Ribeiro, Rodrigo & Oliveira, Gabrielle & Fiuza, Vitor & Silva, Arthur & Gomes, Gabriel & Cerqueira, Gilberto. (2023). Riedel's Hepatic Lobe: an Anatomical and Radiology Description. 511-515. 10.51929

 

Riedel’s lobe is an anatomical variant of the liver.  Originally described in 1988 by the German surgeon Bernhard Moritz Carl Ludwig Riedel (1849-1916) As demonstrated in the image the right hepatic vein is continuous with the hepatic parenchyma, confirming the absence of a focal mass.

In this patient, the presence of ascites allows for clearer visualization of this variant. Riedel’s lobe is more commonly observed in female patients and may occasionally be mistaken for a hepatic mass or hepatomegaly.

Reference article

Bruno, João & Rocha, Oliveira & Porto, Ítalo & Felipe, João & Tomaz, Marti & Araújo, Moysés & Ribeiro, Rodrigo & Oliveira, Gabrielle & Fiuza, Vitor & Silva, Arthur & Gomes, Gabriel & Cerqueira, Gilberto. (2023). Riedel's Hepatic Lobe: an Anatomical and Radiology Description. 511-515. 10.51929

 

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