1. 70Generalized Increased
Echogenicity of the Liver

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig GI 70-1 Fatty infiltration. Sagittal scan
demonstrates a diffuse increase in
echogenicity of the hepatic parenchyma with
marked attenuation of the sound beam.95

4. Fig GI 70-2 Focal fatty infiltration. Longitudinal scan shows a well-
defined, densely echogenic focus within the liver.108

5. • Fig GI 70-3 Fibrosis. Diffuse increased
echogenicity of the liver secondary to chronic
hepatitis.

6. • Fig GI 70-4 Cirrhosis. Transverse scan shows a
small, contracted liver (L) with increased
echogenicity surrounded by ascitic fluid (arrow).
(P, portal vein.)95

7. Fig GI 70-5 Cirrhosis with portal hypertension. Transverse scan
shows multiple venous collaterals (arrowheads).95

8. • Fig GI 70-6 Kaposi sarcoma. Sagittal sonogram
through the right upper quadrant shows
abnormal heterogeneous increase in
echogenicity of the liver, with multiple
hyperechoic lesions throughout the hepatic
parenchyma.109