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Abstract Aim of the work 1- To estimate the role of conventional ultrasonography in diagnosis of hepatic focal lesions. 2- Color Doppler sonography versus conventional sonography in evaluation of hepatic focal lesions. Conclusions Ultrasonography is a safe, non-invasive, simple, non-expensive technique for evaluation of HFLs and highly suggestive for diagnosis of many cases such as benign cysts, liver abscesses and hepatic tumors. It is a good screen maneuver in high risk groups as rapid and reproducible techniques. Color Doppler sonography offers studying hemodynamics of HFLs. It should be preserved for doubtful cases where US is not conclusive and before doing invasive maneuvers e.g. biopsy and angiography or sophisticated investigations e.g. dynamic CT to exclude hemangioma or highly vascular tumors. The vascular pattern, the wave from of blood flow and the other hemodynamics are valuable to differentiate between different HFLs. Recommendation 1- We recommend the use of conventional US as a routine work in investigating high risk groups of chronic hepatitis and cirrhotic. 2- Being safe and easy technique, US should be the first step in evaluation of HFLs. 3- We recommend further and detailed study of the homodynamic characteristics of different HFLs on a large scale to find out the exact and specific criteria for each lesion by correlating the Doppler findings with angiographic evaluation. |