Portal hypertension occurs when pressure in the portal venous system rises, usually due to liver cirrhosis or scarring impeding blood flow into the liver. Ultrasound can detect signs of portal hypertension like ascites, splenomegaly, dilated portal veins and collateral vessels that form around the liver. Specific findings include thrombosed or narrowed portal veins, enlarged arteries supplying the liver, and reversed blood flow away from the liver.