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Dr/Muhammad Jafar
(Radiologist)
❖ Hypertrophy
❖ Atrophy
❖ Portal
❖ Hepatic artery
❖ Hepatic vein
❖ Collaterals
--- coarse texture.
✓ heterogenous
--- Nodular (Sensitivity 88%, specificity 82-98%)
ATROPHY HYPERTROPHY
Segment 4, TS diameter
> 30mm
Caudate : caudate: rt lobe >
0.65
---- < 8mm, flow away, Triphasic
---- MPV < 13mm or 16mm post-prandial, 10-25/sec
--- intrahepatic < 1.8cm, Extra-hepatic < 2cm
---- < 8mm, flow away, Triphasic
---- MPV < 13mm or 16mm post-prandial, 10-25/sec
--- intrahepatic < 1.8cm, Extra-hepatic < 2cm
❖ ABCDE (Albumin, Biliru,Coagua,Distension,
Encephalopathy)
❖ ABGH (Alpha microglob, Bili, Gamma glutamyl,
Hyaluronic)………Scored btw 0-1
❖ Activity and fibrosis stages
Radioclinchers.org
Size < 16cm (Average/Increased/Shrunken)
Parenchyma
➢ Texture (Homo/coarse/irregular)
➢ Echogenicity (Nml / or )
Surface/Margins (Smooth/Irregular)
Portal Vein / Hepatic Veins (Dilated or nml + Doppler)
IHBRs and CBD (Dilated or not) +/- SOL
Liver cirrhosis

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Liver cirrhosis

  • 2. ❖ Hypertrophy ❖ Atrophy ❖ Portal ❖ Hepatic artery ❖ Hepatic vein ❖ Collaterals
  • 3. --- coarse texture. ✓ heterogenous --- Nodular (Sensitivity 88%, specificity 82-98%) ATROPHY HYPERTROPHY Segment 4, TS diameter > 30mm Caudate : caudate: rt lobe > 0.65
  • 4. ---- < 8mm, flow away, Triphasic ---- MPV < 13mm or 16mm post-prandial, 10-25/sec --- intrahepatic < 1.8cm, Extra-hepatic < 2cm
  • 5. ---- < 8mm, flow away, Triphasic ---- MPV < 13mm or 16mm post-prandial, 10-25/sec --- intrahepatic < 1.8cm, Extra-hepatic < 2cm
  • 6.
  • 7. ❖ ABCDE (Albumin, Biliru,Coagua,Distension, Encephalopathy) ❖ ABGH (Alpha microglob, Bili, Gamma glutamyl, Hyaluronic)………Scored btw 0-1 ❖ Activity and fibrosis stages
  • 8. Radioclinchers.org Size < 16cm (Average/Increased/Shrunken) Parenchyma ➢ Texture (Homo/coarse/irregular) ➢ Echogenicity (Nml / or ) Surface/Margins (Smooth/Irregular) Portal Vein / Hepatic Veins (Dilated or nml + Doppler) IHBRs and CBD (Dilated or not) +/- SOL