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Abnormal LFTs for investigation.
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The liver is normal in size and contour although is mildly diffusely echogenic with no focal liver lesion. Portal venous flow is towards the liver.
No gallstones or gallbladder wall thickening. Normal caliber of the biliary tree (CBD 4mm).
An echogenic liver is a common finding, most commonly seen in diffuse hepatic steatosis but can be seen in other conditions including Wilson's disease. This patient was subsequently diagnosed with Wilson's disease after going into liver failure that required a liver transplant.