Sonographic features of cirrhosis
The liver may be increased in size in the early stages of cirrhosis and later become small with relative enlargement of the caudate and/or left hepatic lobe. The liver has a nodular contour and a more echogenic and heterogeneous echotexture. Associated features of portal hypertension may be seen, which include ascites, splenomegaly, recanalization of the paraumbilical vein, and portal vein enlargement.