Hepatic diseases are of great importance in cattle. Fascioliasis, hepatic abscesses, hepatic neoplasia, metabolic disturbances (eg, fatty liver disease) and diseases of major vessels (eg, thrombosis of the caudal vena cava) caused by hepatic abscesses that have broken into the vein are some examples. Until recently, diagnosis of many hepatic diseases was difficult because signs may be nonspecific. In many cases, diagnostic methods such as hepatospecific enzyme tests are insufficient. A complete ultrasonographic examination of the liver should give detailed information about the size, position, and ultrasonographic parenchymal pattern of the liver, the size and position of the gallbladder and the intraand extrahepatic bile ducts, and the topography of the major vessels. Ultrasound-guided collection of hepatic biopsy samples, centesis and aspiration of abscesses, and cholecystocentesis and aspiration of bile samples (for examination for fluke eggs and determination of bile acids concentration) can be performed safely. In the first part of this article, the methods of ultrasonographic examination of the liver and the ultrasonographic appearance of the normal liver are discussed, followed in the second part by a description of specific liver diseases.Ultrasonography of the liver in cattle into a vessel, echogenic thrombi may be seen. In cases with diffuse fatty liver disease, the number and intensity of the internal echoes increases as the severity of the disease increases.In advanced stages of the disease, the liver appears white on ultrasonograms and is difficult to differentiate from surrounding tissue. Calcified bile ducts, caused by chronic fascioliasis, result in discrete sonographic changes in the liver parenchyma. They are intensely hyperechogenic and accompanied by an acoustic shadow distally. In cross section, calcified bile ducts appear as ring-like and in longitudinal section, tube-like hyperechogenic structures.Obstructive cholestasis can almost always be diagnosed on the basis of the observation of dilated bile ducts. A proximal obstruction, which occurs in the area of the hepatic hilus, can 3 be differentiated from a distal obstruction, which occurs in the region of the duodenal papilla.With a proximal obstruction, only the intrahepatic bile ducts are dilated. With a distal obstruction, there is dilatation of the common bile duct and the gallbladder, which may be associated with dilatation of the intrahepatic bile ducts. In cows with congestion of the caudal vena cava, the caudal vena cava loses its normal triangular shape and becomes round to oval on ultrasonograms. At the same time, the diameter of the vein increases. Ultrasonography is a valuable tool for the diagnosis of liver disease. Discrete or diffuse lesions can be imaged, aspirated and biopsied under visual guidance. However, ultrasonography cannot be used to evaluate liver regions obscured by the lungs.