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Other scans include CT of the abdomen and MRI. [44] A CT scan is non-invasive and may be helpful in the diagnosis. [44] Compared to the ultrasound, CT scans tend to be more expensive. MRI provides excellent evaluation; however, is a high expense. [44] Liver cirrhosis on CT imaging of the abdomen in transverse view
Cirrhosis is a late stage of serious liver disease marked by inflammation (swelling), fibrosis (cellular hardening) and damaged membranes preventing detoxification of chemicals in the body, ending in scarring and necrosis (cell death). [11] Between 10% and 20% of heavy drinkers will develop cirrhosis of the liver (NIAAA, 1993).
The Liver Imaging Reporting and Data System (aka LI-RADS) is a quality assurance tool created and trademarked by the American College of Radiology in 2011 to standardize the reporting and data collection of CT and MR imaging patients at risk for hepatocellular carcinoma (HCC), or primary cancer of the liver cells. [1]
In cirrhosis, the underlying mechanism involves high blood pressure in the portal system and dysfunction of blood vessels. [4] Diagnosis is typically based on an examination together with ultrasound or a CT scan. [3] Testing the fluid can help in determining the underlying cause. [3]
Testing for chronic liver disease involves blood tests, imaging including ultrasound, and a biopsy of the liver. The liver biopsy is a simple procedure done with a fine thin needle under local anaesthesia. The tissue sample is sent to a laboratory where it is examined underneath a microscope. [3]
Congestive hepatopathy, is liver dysfunction due to venous congestion, usually due to congestive heart failure.The gross pathological appearance of a liver affected by chronic passive congestion is "speckled" like a grated nutmeg kernel; the dark spots represent the dilated and congested hepatic venules and small hepatic veins.
A liver ultrasound scan or magnetic resonance imaging (MRI) can diagnose steatosis, [73] but not fibrosis, and confirmation of early cirrhosis detection by ultrasound by other diagnostic methods is recommended. [70]
CEUS examination shows congestion in the surrounding liver parenchyma and excludes a vascular tumor. [citation needed] Liver abscess have heteromorphic ultrasound appearance, the most typical being that of a mass with irregular shapes, fringed, with fluid or semifluid content, with or without air inside.
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