Cirrhosis

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Mild elevation of LFTs, chronic alcohol abuse.

Patient Data

Age: 55 years
Gender: Male

Liver

ultrasound

Liver has coarse echotexture and irregular surface supporting advanced chronic liver disease. No discrete liver lesions.

Portal vein is patent and has hepatopetal flow.

Borderline splenomegaly with equivocal spleno-renal varices.

Case Discussion

Typical sonographic features of advanced chronic liver disease (ACLD)/Cirrhosis.

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