NASH/MASH liver injury in children presents as portal-based inflammation, unlike in adults.

“in adults we see it much more around the central vein — so this drainage vein — around the the middle of that H hexagon that I described before you see fat you see inflammatory cells — there are these things called balloon topa toyes that we and Pathologists love to — perseverate over and it's it's a it's a precursor to cell death it's like a hot air balloon it's shaped as a as a stressed out cell that's preapoptotic and and so when we see that type of injury pattern around the central vein — that's more typical what we call adult what we used to call Nash but now call mash”