Review of outside material. It is noted that the liver function tests are currently within normal range. Continued monitoring is suggested, and a repeat biopsy should be considered as clinically indicated, since the current sample is small and inadequate for a complete architectural evaluation. Another notable finding in this specimen is the presence of steatosis and sinusoidal fibrosis. This raises the possibility of an additional insult to the liver, possibly related to diabetes, obesity or ethanol.
Clinical correlation is needed.
This is based on four categories of periportal and bridging necrosis, intralobular degeneration and necrosis, portal inflammation and fibrosis, with total score of up to 22. This scoring system is correlated well with the severity of disease. All rights reserved. Unauthorized redistribution prohibited.