Cirrhosis and portal hypertension

Discussion:

Features suggestive of cirrhosis with portal hypertension: Irregular border to the liver, hypertrophy of the caudate lobe and splenomegaly. In portal hypertension the portal vein is often distended, but is at the upper limit of normal in this case. Ultrasound can also be considered in this case for confirmation, as hepatofugal blood flow can be demonstrated with color Doppler.

Gallstones are demonstrated within the gallbladder.

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