Jamal Ali on Instagram: "SPLENIC & LIVER GRANULOMATOSIS — What It Looks Like on Ultrasound When you see multiple hypoechoic nodules in the spleen • an inhomogeneous, spotty liver parenchyma, think granulomatous disease until proven otherwise. 🔍 Typical Ultrasound Findings • Multiple small, round hypoechoic nodules in the spleen • Patchy, inhomogeneous liver texture • Sometimes mild splenomegaly • No mass effect, usually no vessel displacement 🧬 Differential Diagnosis (Most Relevant) • Sarcoido