Review of outside material. Because of the widely scattered and minor nature of the inflammatory changes, they are felt most likely to represent nonspecific reactive alterations, although the possibility of a low-grade chronic hepatitis cannot be completely excluded.
Clinical correlation is necessary.
The liver biopsy shows normal hepatic architecture with several large and fibrotic portal tracts suggesting possible portal-based bridging fibrosis. In most instances, the portal tracts are free of inflammatory infiltration, although several contain a minor scattering of small lymphocytes. One large portal tract in particular shows a partially crushed lymphoid aggregate. Bile ducts are intact with focal accentuation of the periductal connective tissue in a large portal tract. No piecemeal necrosis is identified.