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. 2018 Aug 27;10(8):530–542. doi: 10.4254/wjh.v10.i8.530

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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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Grey-scale ultrasound in non-alcoholic fatty liver disease. A: 47-year-old female with increased echogenicity of the liver relative to the right kidney, a classic sonographic finding of hepatic steatosis. The patient had elevated serum liver enzymes and underwent a liver biopsy for NASH evaluation; B: 51-year-old female who underwent liver biopsy as part of clinical follow-up. On evaluation of liver pathology, there was no steatosis. Ultrasound image shows normal echogenicity of the liver parenchyma, which is only slightly hyperechoic relative to the renal parenchyma.