Abstract: Objective To analyze the clinical and imaging features of hepatic tuberculosis, and to review the common modalities and the main imaging findings of the disease. Methods To further understand the diversity of the image performance, CT and MRI findings of five patients with pathological confirmed hepatic tuberculosis were retrospectively analyzed combined with the literature reviews. Results There were 3 types of hepatic tuberculosis: ① Hepatic serous type(n=1), which showed multiple nodular lesions with low density and no enhancement;② Liver parenchymal type(n=3): including miliary subtype (n=1), which showed diffuse liver enlargement, low density and heterogeneous enhancement of liver parenchyma. Nodular subtype(n=1), one with nodular calcification on CT scan. Cystic subtype(n=1) showed cyst-like low density with ring-shaped calcifications;③ Tuberculous cholangitis(n=1), presented with biliary ducts dilatation and enhanced. Conclusions The clinical and imaging manifestations of liver tuberculosis are diverse and can be easily misdiagnosed. The remaining 3 types of hepatic tuberculosis of CT and MRI features showed some characteristics, especially with calcifications, which could help us make the diagnosis of hepatic tuberculosis.

Key words: Hepatic tuberculosis, Computed tomography, Magnetic resonance imaging