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Unusual Patterns of Hepatic Steatosis Caused by the Local Effect of Insulin Revealed on Chemical Shift MR Imaging

¹ Department of Radiology, University of Pennsylvania Medical School, First Floor Silverstein, 3400 Spruce St., Philadelphia, PA 19104-4283.
² Department of Radiology, Hackensack University Medical Center, 30 Prospect St., Hackensack, NJ 07601.

OBJECTIVE. We reveal the chemical shift MR findings of unusual patterns of hepatic steatosis caused by the local effect of insulin.

CONCLUSION. Unusual patterns of hepatic steatosis can be seen on MR imaging. Such patterns result from localized high concentrations of insulin. A rim of hepatic steatosis surrounding insulinoma metastases and a subcapsular distribution of hepatic steatosis in patients with diabetes treated with peritoneal dialysis are two such patterns that can be revealed on chemical shift imaging.

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