Papillary process of the caudate lobe

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Work up for abdominal pain. Incidental finding.

Patient Data

Age: 60 years
Gender: Female

The hepatic attenuation value is less than that of the spleen, suggesting fatty liver disease. 

A well defined tongue-like liver tissue projection arises from the caudate lobe and extends medially.

A tiny stone less than 3 mm is present at the upper calyx of the right kidney. 

Case Discussion

Features are consistent with a prominent papillary process of the caudate lobe.

This finding is important in not confusing it with a hepatic or pancreatic neoplasm or a retroperitoneal lymph node. 

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