Acute hepatitis - starry sky appearance
Presentation
6 weeks of right upper quadrant pain and elevated liver enzymes.
Patient Data
Age: 45 years
Gender: Female
From the case:
Acute hepatitis - starry sky appearance
Ultrasound
Transverse
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).
From the case:
Acute hepatitis - starry sky appearance
CT
Axial non-contrast
No corresponding CT abnormality.
Case Discussion
Acute hepatitis is a clinical and laboratory diagnosis. Starry sky appearance appears as bright echogenic dots throughout a background of decreased liver parenchymal echogenicity. It has poor sensitivity and specificity.
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