03172c01.8s

This series is from a patient who died with diffuse histiocytic lymphoma and DIC. The CT scan (a) shows hepatosplenomegaly with a low density liver suggestive of steatosis. The grosspathology specimen shows an enlarged liver with punctate hemorrhages. The low power histopathology shows a diffuse inflitration of dark nuclii reminiscent of a malignant infiltration, and the high power shows fatty vacuoles within the cytoplasm of the hepatocytes and an infiltrate of histiocytic appearing cells with increased nuclear cytoplasmic ratio (d). liver fatty change steatosis malignant cancer histiocytic lymphoma DIC metastases metastasis CTscan grosspathology histopathology

Ashley DAvidoff MD
03172c01.8s