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
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 (starry night).

Modality: CT

No corresponding CT abnormality

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Case Information:

rID: 18858
Diagnostic certainty: Probable
System: Hepatobiliary
Inclusion in quiz mode: Excluded

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