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Grade I (Mild): where liver appears slightly brighter (echogenic) than usual and blood vessels within the liver are well seen.
Grade II (Moderate): liver appears moderately brighter (echogenic), slightly affecting the visualization of liver vessels and diaphragm present above the liver.
Grade III (Severe): liver appears markedly brighter (echogenic) and the liver vessels, diaphragm and back portion of the liver is not visualized or poorly visualized.
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