Acute hepatitis

Acute hepatitis.
___Classic findings:-

  • Liver size is relatively large for corresponding age suggesting edema / congestion (its inferior margin passed lower pole of kidney in LS view).

  • Liver texture is normal (may be slightly altered, personally i am not convinced with starry sky appearance).

  • Peri-portal cuffing, thickening echogenic peri-portal tracts.

  • GB wall thickening with stratification (edema pattern) >>> The most sensitive single sign with -ve sonographic Murphy’s sign.

  • Minimal reactive per-hepatic fluid.

  • Few mildly enlarged reactive porta hepatis lymph nodes.