Case contributed by Bruno Di Muzio
Diagnosis almost certain


Mild elevation of LFTs, chronic alcohol abuse.

Patient Data

Age: 55 years
Gender: Male



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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