Comments and illustrations of the WFUMB CEUS liver guidelines: Rare focal liver lesion – infectious parasitic, fungus

Tobias Zander, Ehsan Safai Zadeh, Kathleen Möller, Christian Goerg, Jean Michel Correas, Nitin Chaubal, Klaus Dirks, Alois Hollerweger, Christian Jenssen, Christoph Klinger, Adrian Lim, Yi Dong, Xin Wu Cui, Nathally Espinosa Montagut, David Srivastava, Christoph F. Dietrich


In this series of papers on comments and illustrations of the World Federation for Medicine and Biology (WFUMB) guidelines on contrast enhanced ultrasound (CEUS) the topics of parasitic and fungus infections are discussed. Improved detection and characterization of common focal liver lesions (FLL) are the main topics of these guidelines but detailed and illustrating information is missing. The focus in this paper on infectious (parasitic and fungus) focal liver lesions is on their appearance on B-mode and Doppler ultrasound and CEUS features. Knowledge of these data should help to raise awareness of these rarer findings, to think of these clinical pictures in the corresponding clinical situation, to interpret the ultrasound images correctly and thus to initiate the appropriate diagnostic and therapeutic steps in time.


Liver lesions; candidiasis; parasitic diseases; ultrasonography; CEUS

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