SONOGRAPHIC EVALUATION OF FOCAL AND DIFFUSE HEPATIC LESIONS

AIM: To study ultrasonography as prime imaging modality for evaluation of focal and diffuse liver lesions and its confirmation by fine needle aspiration. METHODOLOGY: Patients presenting with liver diseases were included in the study. Ultrasonography was done as initial imaging method, and then guided Fine Needle Aspiration was done to correlate our findings. RESULTS: Ultrasonography was highly sensitive and specific in diagnosing liver abscess, malignant liver tissue & metastasis. For non-malignant liver lesions like haemangioma, cystic and hydatid lesions, fatty liver and cirrhosis showed sensitivity up to 80%, and specificity up to 90%. CONCLUSION: Above data suggests that ultrasonography has high sensitivity and specificity for overall diagnosis and it helps in guiding Fine Needle Aspiration for confirmation of diagnosis.