The phrase describes a specific sonographic appearance of the liver characterized by multiple, small, echogenic foci scattered throughout the hepatic parenchyma. These bright spots are seen against a relatively hypoechoic background, resembling stars in the night sky. This pattern is frequently associated with hepatic inflammation, particularly hepatitis.
Recognition of this visual presentation during abdominal imaging is clinically important as it can indicate underlying liver disease. Early detection and diagnosis can lead to timely intervention and management of the condition, potentially preventing progression to more severe liver damage. Historically, this pattern was significantly associated with acute hepatitis, especially in pediatric patients. Modern advancements in ultrasound technology have refined the accuracy of its identification.