HEPATITIS  

acute hepatitis:

• There is diffuse swelling of the hepatocytes, proliferation of Kupffer cells lining the sinusoids and infiltration of the portal areas by lymphocytes and monocytes. 
• The liver parenchympa may have a diffusely decreased echogenicity with accentuated brightness of the portal triads, periportal cuffing .
• Hepatomegaly and thickening (edematous) of the gallbladder wall are associated findings. 
  
  
  

CHRONIC HEPATITIS

• In most cases the liver appears normal.
• In chronic hepatitis are also sonographically normal.
• When Chronic hepatitis and cirrhosis develops, sonography may demonstrate a coarsened echotexture and other morphologic changes of cirrhosis.