Ultrasound findings: 

• The diagnosis of cirrhosis by ultrasound may be difficult. Specific findings may include coarsening of the liver parenchyma secondary to fibrosis and nodularity. 
• Increased attenuation may be present, with decreased vascular markings. 
• Hepatosplenomegaly may be present with ascites surrounding the liver but in chronic cases it may be reduced. 
• Chronic cirrhosis may show nodularity of the liver edge, especially if ascites is present. 
• The hepatic fissures may be accentuated. The isoechoic regenerating nodules may be seen throughout the liver parenchyma. 
• Portal hypertension may be present. 
  
  

Cirrhosis: Coarse parenchyma & innumerabletiny, hyperechoic nodules.

Cirrhosis: Coarse parenchyma & innumerabletiny, hypoechoic nodules.

Cirrhosis: Sagittal image showing an enormous caudate lobe.

Cirrhosis: Transverse scan shows that the rightlobe is small and there is enlargement of the left lateral segment.

Cirrhosis: Subcostal oblique view showing a tiny right lobe of the liver, which is separated from the large left lobe by the main lobar fissure

Cirrhosis: Small end-stage livers with surface nodularity, in patients with ascites

Cirrhosis: large nodule protrudes from the deep liver border