Ultrasound Hepatitis

Viral hepatitis
Acute viral hepatitis may be caused by one of several viruses: A, B, C, D or E. The viruses which cause hepatitis B, C and D may also go on to chronic disease and predispose the liver to HCC in the later stages. Vaccines exist for A and B, but not yet for the others. Hepatitis A and E are transmitted via contaminated food or drink and are particularly prevalent in third-world countries. Hepatitis B, C and D are likely to be transmitted through transfusion or sexual contact.
Fulminant hepatitis, in which there is complete liver failure, is a rare complication of acute hepatitis B. Most patients with acute hepatitis recover completely, but hepatitis B, C and D may go on to develop chronic hepatitis. This has two forms:
● Chronic persistent hepatitis is a mild form of inflammation limited to the portal tracts. It is usually of comparatively little clinical significance and does not show ultrasound changes.
● Chronic active hepatitis is a more serious and aggressive form of the disease which causes diffuse, persistent inflammation. This may eventually lead to cirrhosis, which can be associated with HCC.
Other causes of acute hepatitis Acute hepatitis may also occur with many other conditions. The most common of these are alcoholic hepatitis (see alcoholic cirrhosis, above), infectious mononucleosis, herpesvirus and cytomegalovirus. Patients with AIDS and those who are immunosuppressed are also particularly prone to hepatitis.
Clinical features of hepatitis
It may be asymptomatic (patients who have antibodies present, but who deny having had the disease, must have had subclinical disease at one time). Other signs include lethargy, nausea, vomiting and jaundice. The liver is enlarged and tender in the acute phase. The diagnosis and classification of hepatitis must
be made histologically, ideally with an ultrasoundguided biopsy.
Ultrasound appearances of hepatitis
The liver frequently appears normal on ultrasound. In the acute stage, if ultrasound changes are pres ent, the liver is slightly enlarged with a diffusely hypoechoic parenchyma. The normally reflective portal tracts are accentuated in contrast (Fig.below). This ‘dark liver’ appearance is non-specific, and may also occur in leukaemia, cardiac failure, AIDS and other conditions.
The inflammation may start at the portal tracts working outwards into the surrounding parenchyma, the so-called periportal hepatitis. In such cases, the portal tracts become less welldefined and hyperechoic. The gallbladder wall may also be thickened, and some patients demonstrate portal lymphadenopathy.
If the disease progresses to the chronic stage, the liver may reduce in size, becoming nodular and coarse in appearance (Fig. below).



Ultrasound images Subtle changes of oedema in acute hepatitis: the liver is hypoechoic compared with the right kidney, mildly enlarged and has prominent portal tracts.



Ultrasound images Chronic hepatitis and cirrhosis, demonstrating a coarse-textured, nodular liver.


LiveJournal Tags: Ultrasound images Chronic hepatitis and cirrhosis

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5 komentar

4 May 2017 at 23:45 delete

I like the valuable information you provide in your blog. Radlabs medical diagnostics center will also provides quality and high end Ultrasound scan services in Hyderabad. Thanks for posting useful information.
Ultrasound Scan Services .

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7 September 2017 at 00:42 delete

As a sign of gratitude for how my husband was saved from pineal cyst , i decided to reach out to those still suffering from this.
My husband was diagnosed of pineal cyst, and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he had weakness of the body , and he always complain of ringing in ears (tinnitus) and headache . we tried various therapies prescribed by our neurologist but none could cure him.one faithful day i decided to go for a researched and i saw a testimony by someone who was cured and so many other with similar brain problem, and he left the contact of the doctor who had the cure to pineal cyst. I never imagine pineal cyst has a cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months time he was fully okay even up till this moment he is so full of life. pineal cyst has a cure and it is a herbal cure contact the doctor for more info on drwilliams098675@gmail.com on how to get the medication. Thanks for reading my testimony

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22 September 2017 at 15:50 delete

"Dear Williams, I wanted to drop you a note and say 'THANK YOU', from the bottom of my heart. I was browsing the Internet back in AUGUST this year looking for help, any help. I have been diagnosed with a pineal cyst of 7. mm that was extremely causing me a vision balance & headaches , painful especially at night before going to bed. Thankfully enough I accidentally came across Mrs shelley thanking dr williams for his medication. I thought I should give his medicine a try and if it worked then the thirty something bucks would have been worth it. I ordered his medicine and went to my local health store and bought the herbs and vitamins and the other more basic ingredients for his medicine and then started his medication that day. After 7 days I didn't see any change so I thought 'here we go again'. But it wasn't another disappointment. By the end of the 4th week on a bright Monday morning, all the pain,headaches and the awful bloated feeling just stopped. I immediately went and performed another scan and guess what? The pineal cyst of 7. mm was not there anymore. I was so happy!

Thanks to your advice, I now know how to prevent any future pineal cyst formation and the array of symptoms that goes along with it, including the headache unexpected seizure and visual disturbances. Thank you so much for everything!"for more information you can email him on drwilliam098675@gmail.com for advice and for his product.

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10 October 2017 at 13:48 delete

MY NAME IS NITA,A LIVING CLAIM OF DR WILLIAMS HERBAL MEDICINE.

Dr Williams,herbal treatment is the best to shrink pineal cyst naturally.

Four months ago, I was scheduled an operation to remove a fairly large pineal cyst (approx. 8 mm), which had caused me a great deal of headache and tightness around my head. . My doctor insisted that there was no other choice but to go under the knife and I had reluctantly agreed (after trying several medications to decrease the size of the pineal cyst to no avail). It was approx. 2 months prior to the surgery when my husband comes across dr williams herbal remedies which my husband found and ordered for me online. With the help of my loving husband, I followed the step and procedure on how i should be taking it. and one months later I was scheduled for an scan check: it was shocking. The pineal cyst had completely gone, I had consulted my doctor and cancelled the surgery and with his dedicated counseling guidance I managed to completely treat the pineal cyst from my pineal gland , along with the pain and anxiety that this condition had inflicted on me. Thank you so much for your kind help DOCTOR,for more information on how to get his medication you can visit his blog on http://pinealcystnaturalcure.blogspot.com

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21 October 2017 at 12:47 delete

I am Sophie from Canada, I once suffered from a terrible and Chronic pineal cyst ,since i was 30 , the doctor told me there was no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this illness was really terrible especially when am going out with my friends, i have this constant disorder for about 15 years, this was really a terrible ailment ,on thin one day that i was going through the internet,and i came across a post of Mrs Shelley on how his husband was been cured from pineal cyst through the help of Dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine, i used it for 1 months as prescribed by Dr Williams and i was totally cured within those week of usage,on thin now i have not experience any sign or characteristics again . for more information you can email him on drwilliams098675@gmail.com for help

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