The role of conventional ultrasound in pediatric chronic liver diseases

Abstract

The aim of this article is to provide an overview of conventional ultrasound in imaging chronic liver diseases in children. The first part describes the normal ultrasound appearance of a child`s liver and the concepts of examination. The further sections present the usual ultrasound findings, the key sonographic points of the most common chronic paediatric liver conditions, and the role of ultrasound in providing diagnostic and prognostic information, detecting complications and supporting reassuring liver biopsy. The limitations of the method are also discussed. Taking all this into account, the interpretation of ultrasound is better in the context of the clinical picture and, in inconclusive cases, followed up with additional imaging and laboratory work up.

Conclusion – In conclusion, regardless of the progress made in diagnostic methodology, ultrasound still remains the first, but mostly not the last imaging modality for presumed chronic liver diseases, in daily clinical practice.