Case 33: Chronic Liver Disease (CLD)

 

Chronic Liver Disease (CLD)

Clinical History:

• 25 years old female with HBV infection

USG Findings:

• Chronic liver disease (Early changes: mild irregularity & decreasing portal venous flow)
• Thickened gallbladder wall
• Gallbladder sludge
• Mild splenomegaly
• Splenunculus (Accessory spleen)
• Displaced IUCD
• Huge ascites (No bladder seen here)
• Bilateral pleural effusion (Lt not shown here)

 Fig: Mild hepatic margin irregularity, thickened gallbladder wall with luminal sludge, huge ascites, right sided pleural effusion

Fig: Mild splenomegaly with splenunculus (Accessory spleen)

Fig: Decreasing portal venous flow (Patient on the post-prandial state)

Fig: Displaced IUCD at the lower uterine cavity, huge ascites