Coarsened hepatic echotexture is a sonographic descriptor used when the uniform smooth hepatic echotexture of the liver is lost. This can occur due to a number of reasons which include:
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conditions that cause hepatic fibrosis 1
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various types of hepatitis 3
particularly chronic hepatitis
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conditions that cause cholestasis
choledochal cysts: probably from secondary cholestasis 3
certain bile duct tumours: will also usually show of accompanying biliary duct dilatation
diffusely infiltrating hepatic metastases
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hepatic lymphoproliferative diseases
hepatic lymphoma: although generally presents as a focal liver disease
as a hepatic manifestation of sickle cell disease.
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metabolic abnormalities
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