Fig. 7
From: The diagnostic value of normalized ADC using spleen as reference organ in assessment liver fibrosis
45 years old HCV positive female patient, underwent Fibroscan with 14.5 kPa which was classified as F4stage. (F4 > 12.5 kPa). His diffusion study reveals enlarged liver with cirrhotic features denoted by nodular hepatic surface, enlarged left lobe and deep fissures yet no focal lesions. The spleen was enlarged in size with no focal lesions. (a)-ADC map, and (b) - DWI at b = 800- reveals liver mean ADC = 1.6 × 10−3 mm2/s, and spleen mean ADC = 1.7× 10−3 mm2/s so normalized ADC= 0.94. (F4 nADC cut off =1.38)