Abstract: BACKGROUND: Ultrasonography offers a non-invasive and cost effective method for evaluation and hepato-biliary surveillance in viral hepatitis. Two distinct ultrasound patterns are often detected: Accentuated brightness and more extensive demonstration of the portal vein radicle in background of decreased echogenicity of the liver in acute hepatitis. While chronic hepatitis reveals; decreased brightness and number of portal vein radicle walls and overall increased liver echogenicity. Therefore, the aim of the present study was to detect the changes in the hepatobiliary system on ultrasound in viral hepatitis and the significance of these findings.