Fatty liver ultrasound

Fatty Liver Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Ultrasound

Imaging studies are often obtained during evaluation process. Ultrasonography reveals a "bright" liver with increased echogenicity. A fatty liver has lower density than spleen on CT scan and fat appears bright in T1 weighted MRI. No radiological modality is however able to distinguish simple steatosis from advanced NASH. Histological diagnosis by liver biopsy is sought when assessment of severity is indicated.

Fatty infiltration on ultrasound'

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Fatty liver on ultrasound. Note that liver is very echogenic when compared to right kidney

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