Acute hepatitis.
.
___Classic findings:-
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Liver size is relatively large for corresponding age suggesting edema / congestion (its inferior margin passed lower pole of kidney in LS view).
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Liver texture is normal (may be slightly altered, personally i am not convinced with starry sky appearance).
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Peri-portal cuffing, thickening echogenic peri-portal tracts.
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GB wall thickening with stratification (edema pattern) >>> The most sensitive single sign with -ve sonographic Murphy’s sign.
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Minimal reactive per-hepatic fluid.
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Few mildly enlarged reactive porta hepatis lymph nodes.