Hepatoportal sclerosis, also known as non-cirrhotic portal fibrosis, is a condition characterized by sclerosis and fibrosis of the small and medium portal vein branches within the liver, leading to portal hypertension without the typical features of cirrhosis. On ultrasound, the portal vein and its branches may appear thickened and echogenic, and signs of portal hypertension such as splenomegaly, ascites, and collateral vessels may be present. The liver itself may appear relatively normal, without the nodular surface typically seen in cirrhosis. This condition is important to recognize because its management differs from cirrhotic portal hypertension.
Sonography Term