Fig. 5
From: The diagnostic value of normalized ADC using spleen as reference organ in assessment liver fibrosis
a 35 years old HCV positive female patient, underwent Fibroscan with 6 kPa which was classified as F1 stage (F1=5-7 kPa), His diffusion study: reveals mildly enlarged liver with no focal lesions. The spleen was of average size with no focal lesions (a)-DWI at b = 800- and (b)-ADC map, revealed mean liver ADC = 0.95 × 10−3 mm2/s and spleen mean ADC = 0.66× 10−3 mm2/s so normalized ADC= 1.45(F1 nADC cut off =1.44). b & c -His ultrasound study reveals (b)-mild hepatomegaly (16 cm) with no cirrhotic features or focal lesions and (c)-portal vein shows average calibre with the hepatopedal flow( numbering adjusted)