Investigating Abnormal Liver Function Tests: Ultrasound Findings of Liver Cirrhosis

Faculty Mentor

Dr. Myka Bussey-Campbell

Location

Savannah Ballroom

Type of Research

Proposed

Session Format

Poster Presentation

College

Waters College of Health Professions

Department

Clinical Sciences

Abstract

Abstract

Cirrhosis is a progressive hepatic disease and the 11th leading cause of death globally, placing a significant burden on healthcare systems due to complications such as ascites and hepatic encephalopathy. This case study examines the sonographic evaluation of a 68-year-old African American male patient presenting with abnormal liver function tests (LFTs) and a history of prior liver screening. A limited abdominal ultrasound was performed utilizing a LOGIQ E9 system with a 1-6 MHz curvilinear transducer to assess liver architecture. Sonographic findings revealed a shrunken liver with a nodular surface and heterogeneous echotexture, distinct from the smooth hepatomegaly typically associated with Nonalcoholic Fatty Liver Disease (NAFLD). Secondary signs of decompensation, including ascites surrounding the liver and pericholecystic fluid, were also identified. The case highlights the utility of ultrasound in differentiating cirrhosis from other pathologies and discusses management strategies, including sodium restriction, diuretic therapy, and the use of prognostic tools such as Child-Pugh and MELD scores to determine transplant eligibility.

Keywords: cirrhosis, abdominal ultrasound, ascites, nodular liver, liver function tests

Program Description

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Start Date

4-21-2026 1:30 PM

End Date

4-21-2026 3:30 PM

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Apr 21st, 1:30 PM Apr 21st, 3:30 PM

Investigating Abnormal Liver Function Tests: Ultrasound Findings of Liver Cirrhosis

Savannah Ballroom

Abstract

Cirrhosis is a progressive hepatic disease and the 11th leading cause of death globally, placing a significant burden on healthcare systems due to complications such as ascites and hepatic encephalopathy. This case study examines the sonographic evaluation of a 68-year-old African American male patient presenting with abnormal liver function tests (LFTs) and a history of prior liver screening. A limited abdominal ultrasound was performed utilizing a LOGIQ E9 system with a 1-6 MHz curvilinear transducer to assess liver architecture. Sonographic findings revealed a shrunken liver with a nodular surface and heterogeneous echotexture, distinct from the smooth hepatomegaly typically associated with Nonalcoholic Fatty Liver Disease (NAFLD). Secondary signs of decompensation, including ascites surrounding the liver and pericholecystic fluid, were also identified. The case highlights the utility of ultrasound in differentiating cirrhosis from other pathologies and discusses management strategies, including sodium restriction, diuretic therapy, and the use of prognostic tools such as Child-Pugh and MELD scores to determine transplant eligibility.

Keywords: cirrhosis, abdominal ultrasound, ascites, nodular liver, liver function tests