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Fifteen-minute consultation: Child with an incidental finding of a fatty liver
  1. Joseph Chan1,
  2. Girish Gupte2
  1. 1 Department of Paediatric Gastroenterology, Bristol Royal Hospital for Children, Bristol, UK
  2. 2 Department of Paediatric Hepatology, Birmingham Children's Hospital, Birmingham, UK
  1. Correspondence to Dr Girish Gupte, Consultant Paediatric Hepatologist, Liver Unit (including small bowel transplantation), Birmingham Women's and Children's NHS Foundation Trust, Birmingham B4 6NH, UK; girishgupte{at}


The incidental finding of a fatty liver on an abdominal ultrasound scan performed for an unrelated reason in an overweight child is an increasingly common phenomenon in paediatric practice. This article will explain the steps to be taken when receiving such an ultrasound report.

  • adolescent health
  • gastroenterology
  • obesity

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  • Contributors The authors thank Macrovector/Freepik for providing the normal liver image. The authors also thank Elena Buzzetti, Massimo Pinzani, Emmanuel A Tsochatzis and Elsevier for supplying the image for multiple-hit pathogenesis of non-alcoholic fatty liver disease (NAFLD) (figure 2).

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.