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Normal vs Fatty Liver (hepatic steatosis) side by side. You can see the fatty liver is more echogenic(brighter) with more attenuation of the soundwaves. Grading can be done as mild, moderate and severe (I, II, III) (Mild) Grade I: diffusely increased hepatic echogenicity but periportal and diaphragmatic echogenicity is still appreciable (Moderate)Grade II: diffusely increased hepatic echogenicity obscuring periportal echogenicity but diaphragmatic echogenicity is still appreciable (Severe) Grade
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