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"Starry night" - hepatitis on ultrasound

Case contributed by Dr Chris O'Donnell

Presentation:

6 weeks of right upper quadrant pain and elevated liver enzymes

Patient Data:

Age: 45
Gender: Female
Race: Caucasian
Modality: Ultrasound

Tiny echogenic foci throughout the liver.  These are within the portal triads and do not represent gas bubbles (as per the CT scan).  Appearances are non-specific but most commonly associated with hepatitis.

Modality: CT

No corresponding CT abnormality

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