Changes

The diagnosis of cirrhosis can be made by physical examination and blood testing alone,<ref>{{cite journal|last=Udell|first=JA |author2=Wang, CS |author3=Tinmouth, J |author4=FitzGerald, JM |author5=Ayas, NT |author6=Simel, DL |author7=Schulzer, M |author8=Mak, E |author9=Yoshida, EM|title=Does this patient with liver disease have cirrhosis?|journal=JAMA: The Journal of the American Medical Association|date=Feb 22, 2012|volume=307|issue=8|pages=832–42|pmid=22357834|doi=10.1001/jama.2012.186}}</ref> but ultrasonography is very helpful as an additional diagnostic tool, such as at least in subtle disease. Ultrasonography is the first-line modality of medical imaging in patients with suspected cirrhosis and/or portal hypertension.<ref name="ProcopetBerzigotti2017">{{cite journal|last1=Procopet|first1=Bogdan|last2=Berzigotti|first2=Annalisa|title=Diagnosis of cirrhosis and portal hypertension: imaging, non-invasive markers of fibrosis and liver biopsy|journal=Gastroenterology Report|volume=5|issue=2|year=2017|pages=79–89|issn=2052-0034|doi=10.1093/gastro/gox012}}</ref> US is also typically the initial, first-line modality choice for the diagnosis and follow-up of portal hypertension.<ref name="BandaliMirakhur2017">{{cite journal|last1=Bandali|first1=Murad Feroz|last2=Mirakhur|first2=Anirudh|last3=Lee|first3=Edward Wolfgang|last4=Ferris|first4=Mollie Clarke|last5=Sadler|first5=David James|last6=Gray|first6=Robin Ritchie|last7=Wong|first7=Jason Kam|title=Portal hypertension: Imaging of portosystemic collateral pathways and associated image-guided therapy|journal=World Journal of Gastroenterology|volume=23|issue=10|year=2017|pages=1735|issn=1007-9327|doi=10.3748/wjg.v23.i10.1735}}</ref>