1) diffuse hepatic steatosis는 다음과 같이 설명됩니다.

출처 : https://radiopaedia.org/articles/diffuse-hepatic-steatosis

그래서 현재 이 사진만으로는 HU를 정확히 알 수는 없지만, 비장에 비해 어두운 점으로 보아 diffuse hepatic steatosis라고 판단한 것 같습니다.

2) Ascite는 빨간색 화살표입니다.

3) splenomegaly CT 소견은 다음과같이 정리되나, 현재 이사진만으로는 판단하기가 어려울 것 같습니다.

Single splenic measurements can be used to identify splenomegaly:

• width (largest AP axial measurement) >10.6 cm ¹⁵

• craniocaudal length

  • >9.5-10.5 cm for splenomegaly ^4,15

  • >14.5 cm for massive splenomegaly ⁴

• coronal oblique length >12 cm

The splenic index was first proposed to express splenic volume ¹⁰:

• splenic index = length × width × thickness (cm)

The normal range of the index is 120-480 and this is considered the most reliable measurement for splenomegaly ¹⁵. Since the index does not have a unit, other formulas have been proposed for estimating splenic volume on cross-sectional imaging ⁵: 

• spleen volume (cm³) = 30 + 0.58 × craniocaudal length × diameter × thickness (cm)

Where:

• length is defined as the craniocaudal distance between the first and last slices in the axial plane where the spleen is depicted

• diameter is the largest measurable long axis distance in the axial plane

• thickness is the largest perpendicular dimension to the diameter in the axial plane

The normal range of the estimated volume in healthy individuals with this formula is 107.2 – 314.5 cm³ (mean: 214.6 cm³) ⁵.

출처 : https://radiopaedia.org/articles/splenomegaly