Diffuse hepatic steatosis (grading)

Changed by Ayush Goel, 8 Jan 2015

Updates to Article Attributes

Body was changed:

Grading of diffuse hepatic steatosis on ultrasound has been used to communicate to the clinician about the extent of fatty changes in the liver. 

Grading

  • grade I: increased hepatic echogenicity with visible periportal and diaphragmatic echogenicity
  • grade II: increased hepatic echogenicity with imperceptible periportal echogenicity, without obscuration of diaphragm
  • grade III: increased hepatic echogenicity with imperceptible periportal echogenicity and obscuration of diaphragm

Practical points

Some suggest that visual grading of hepatic steatosis is subject to a wide interobserver and intraobserver variability 3

There is also a histological three point scale for grading severity of non-alcoholic steatohepatitis 4. These two grading systems are not currently correlated.

  • -<p><strong>Grading of diffuse hepatic steatosis </strong>on ultrasound has been used to communicate to the clinician about the extent of <a href="/articles/hepatic-steatosis">fatty changes</a> in the liver. </p><p>Grading</p><ul>
  • +<p><strong>Grading of diffuse hepatic steatosis </strong>on ultrasound has been used to communicate to the clinician about the extent of <a href="/articles/hepatic-steatosis">fatty changes</a> in the liver. </p><h4>Grading</h4><ul>

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