Case Analysis: Ultrasound Diagnosis of Hepatic Inflammatory GranulomaZhang Xiaohang, Quan Lijuan, Department of Ultrasound, Jiaxing First Hospital, Jiaxing, Zhejiang 314001The first author：Zhang xiaohang，505004658@qq.com.Corresponding author：Quan Lijuan，qlj5083@163.com.KCM: 68-year-old male presented with incidentally found liver mass. Ultrasound revealed a 13×17 mm irregular, hypoechoic lesion with ill-defined borders adjacent to hepatic veins; CDFI showed no blood flow, CEUS demonstrated hypoenhancement. Pathological diagnosis post partial hepatectomy: focal chronic suppurative inflammation with adjacent biliary epithelial atypical hyperplasia.Abstract: Ultrasound diagnosis of hepatic inflammatory granuloma refers to the process of identifying granulomatous lesions within the liver using ultrasonography. This report presents an analysis of a patient diagnosed with hepatic inflammatory granuloma via ultrasound. A thorough evaluation of the patient’s ultrasound examinations, including conventional B-mode ultrasound and contrast-enhanced ultrasound (CEUS), was performed. Lesion characteristics such as boundaries, echogenicity, and blood flow patterns were comprehensively assessed to characterize the pathology. Based on the findings, the patient underwent surgical treatment at our institution. Pathological results revealed focal chronic suppurative inflammation within the liver tissue, accompanied by atypical hyperplasia of the adjacent bile duct epithelium. Additionally, this report includes a review of relevant literature, summarizing the clinical characteristics and ultrasonographic features associated with hepatic inflammatory granuloma.Keywords: Advanced Ultrasound; Contrast-Enhanced Ultrasound; Ultrasound; Hepatic inflammatory granuloma; Case analysis; Clinical Value