Jaundice, fever, abdominal pain and vomiting.
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The liver is mildly enlarged associated with periportal edema. Diffuse gallbladder wall thickening with no hyperdense luminal foci.
Mild ascites is noted in Morison's pouch and in the pelvis.
The diagnosis of acute hepatitis is usually made on a clinical and laboratory basis. US and other imaging modalities can show changes which are nonspecific but can aid in diagnostic confidence.
Hepatomegaly is the most sensitive sign. Periportal oedema and diffuse gallbladder wall thickening, noting the latter is nonspecific with a wide differential diagnosis.