Multinodular fatty change in the liver in patients with chronic hepatic porphyria

What is it about?

We present three alcoholic cases of chronic hepatic porphyria (CHP) in which grayscale ultrasound revealed multiple echogenic masses throughout the liver, mimicking multinodular hepatocellular carcinoma on alcoholic liver injury.

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Why is it important?

When encountering alcoholic patients with multiple echogenic masses in the liver, chronic hepatic porphyria must be included in the differential diagnosis. contrast-enhanced ultrasonography and shear wave elastography allow us to increase our diagnostic confidence of chronic hepatic porphyria.