Can cirrhosis be detected by ultrasound B?

Written by Li Hu Chen
Imaging Center
Updated on September 15, 2024
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If there are signs of hardening in the liver, which we call cirrhosis, an ultrasound, specifically a hepatobiliary ultrasound, can detect it. Especially in the middle and late stages, cirrhosis has some characteristic features on an ultrasound. First, one can observe the size of the liver. By the middle and late stages, the liver usually shrinks—a slight enlargement may occur early on, but it generally progressively diminishes. Additionally, the texture of the liver becomes harder, and through the ultrasound, the texture appears uneven with a bumpy feeling, or in other words, there can be seen a diffuse and uneven echo. However, for early-stage cirrhosis, a standard ultrasound may not be as sensitive. Nowadays, there are digital liver ultrasounds specifically designed to measure the degree of liver hardness, which provide objective data to help diagnose more sensitively and objectively. This method can definitely detect the condition.

Other Voices

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Written by Yang Chun Guang
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Is it okay not to remove the spleen for cirrhosis with splenomegaly?

Once cirrhosis patients are found to have splenic hyperfunction, in order to reduce the splenic hyperfunction and its phagocytic destruction of red blood cells, white blood cells, and platelets, the spleen must be dealt with. Traditionally, the treatment plan could involve surgically removing the spleen, also known as splenectomy. However, current treatment plans generally involve interventional methods. After multiple interventional embolizations, the spleen undergoes aseptic necrosis and is absorbed, thus improving the condition of splenic hyperfunction. Therefore, now in cases of cirrhosis with splenic hyperfunction, it is possible to treat without removing the spleen, using interventional methods instead.

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Can cirrhosis be detected by a CT scan?

Cirrhosis can be detected by a CT scan. Early-stage cirrhosis has no specific diagnostic value on CT, but middle to late-stage cirrhosis typically manifests as wavy changes in the liver capsule, enlarged liver lobes, and disproportionate size of liver lobes, with most changes involving an enlargement of the left lobe and caudate lobe and a relative shrinkage of the right lobe. Additionally, secondary manifestations of cirrhosis, such as portal hypertension, can cause enlargement of the spleen and varices in the lower esophagus and stomach fundus. When cirrhosis is detected, it is advisable to perform an enhanced CT scan to determine the potential for malignant transformation in liver regenerative nodules.

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Is it serious if someone with cirrhosis doesn't have bowel movements?

Cirrhosis without bowel movements does not necessarily mean that the condition is very severe. Patients with cirrhosis who have no bowel movements might be experiencing poor digestion, leading to slow intestinal movements and subsequently constipation. However, constipation can potentially trigger hepatic encephalopathy, thus it requires proactive treatment. Oral lactulose can be used for bowel movement, or an enema with white vinegar to acidify the intestines can also be administered. Patients with cirrhosis who develop hepatic encephalopathy, upper gastrointestinal bleeding, or primary peritonitis are experiencing severe conditions and need to actively undergo corresponding treatment measures. (Please use medications under the guidance of a doctor.)

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The difference between fatty liver and liver cirrhosis

Fatty liver is shown through ultrasound as having an increased and finely detailed echo in the liver, which is completely different from liver cirrhosis. Liver cirrhosis is generally caused by the progression of chronic hepatitis, commonly seen in hepatitis B-related cirrhosis, hepatitis C-related cirrhosis, and alcoholic cirrhosis. Cirrhosis resulting from drug-induced liver damage or from severe fatty liver is relatively rare in clinical practice. Therefore, we should not panic. Once diagnosed with fatty liver, it can be reversed through proper diet and reasonable exercise, and its progression to liver cirrhosis can be prevented. So, everyone, there is no need to rush or panic.

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How long does it take for fatty liver to progress to cirrhosis?

How long does it take for fatty liver to progress to cirrhosis? Fatty liver is generally divided into mild, moderate, and severe fatty liver. If it is mild or moderate fatty liver, it can be reversed through proper exercise and diet control, meaning it can be cured. However, once it progresses to severe fatty liver, it can easily develop into cirrhosis, but the specific time required is about five years. Therefore, once we have fatty liver, it must be taken very seriously. With the improvement of living standards, most people are obese, which means that fatty liver is mostly caused by obesity. In terms of treatment, the focus is mainly on the cause, which is obesity. Patients need to follow a reasonable diet and actively exercise to lose weight. If successful in losing weight, fatty liver can be reversed, and we do not have to worry about fatty liver developing into cirrhosis.