Presentation
Outpatient presentation with abdominal distension and a history of chronic hepatitis. An ultrasound is requested.
Patient Data
Age: 55 years
Gender: Female
From the case:
Shear wave elastography
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Case Discussion
Shear wave elastography is a valuable additional ultrasound tool to assess the liver. Shear wave elastography is performed in fasting status.
In this case, the average stiffness score is 19.2 kPa. This range is diagnostic of F4-stage fibrosis compatible with cirrhosis. As values are higher than 17 kPa, the patient is at risk of clinically significant portal hypertension (CSPH) and hepatocellular carcinoma (HCC).
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