Ultrasound Findings of Livers with Abnormal Function

Abstract

This study deals with the ultrasound finding of abnormal liver function test. The main objective of this study is to evaluate the sonographic appearance of the liver in case of abnormal LFT to collaborate sonographic appearance of the liver with the defect in the LFT, determine the cause of unexplained abnormal liver function tests, and characterize the ultrasound findings as (normal, descriptive and definitive). The study carried out on 50 patients with abnormal LFT at the military Hospital. During The period from October 2011 up to April 2012. The US mobile machines used this study were GE logic5 with probe frequency 3.5 MHz and Mandarin machine with probe frequency 3.5 MHz, probes was convex with frequencies ranging from 3.4MHz. All patient were prepared by full bladder and using trans.abdominal probe. All patients scanned with supine position technique. After the detailed literary work the study comes to conclusion that A normal ultrasound does not exclude the presence of fatty liver or cirrhosis. The study reveal that the liver echogenicity were isoechoic in (31) patients and hypoechoic in (19) patients, the liver texture was fine in (33) patients and coarse in (17) patients. LFT was high in 41(82%) and low in 9(18%). The study shows that RT lobe mean size was 12.4±1.8, LT lobe was (6.5±1.8) and caudate lobe was (2.3±0.6). The mean portal vein diameter was (1.4±0.3). Most causes of abnormal LFT were associated with Alcoholic liver disease, Non.alcoholic steatohepatitis, Chronic hepatitis C or B, Drug ,induced hepatotoxicity, Haemochromatosis ,Wilson’s disease , Primary biliary cirrhosis, Autoimmune hepatitis, Acute hepatitis A or E , Primary sclerosing cholangitis .The main objective to proceed this study is evaluation the liver by US .