Presentation
Biliary colic.
Patient Data
Liver has diffuse increased echogenicity with posterior shadowing impairing the evaluation of the deep liver parenchyma and diaphragm. Liver contours remain smooth, no morphological features of cirrhosis. Focal fat sparing adjacent to the gallbladder fossa.
No biliary tree dilatation to suggest obstruction. Downstream CBD is obscured by overlying bowel gas. Gallbladder has thin and smooth walls and a 1.8 cm stone impacted in the gallbladder neck. No pericholecystic fluid or gallbladder tenderness while examination.
Case Discussion
Liver showing diffuse increased echogenicity with posterior shadowing impairing the evaluation of the deep liver parenchyma and diaphragm, in keeping with severe hepatic steatosis (grade III).
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