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.