Hepatic vein pulsatility correlates with the severity of disease in a
range of different liver disorders. We describe a simple visual gradin
g system for scoring hepatic vein pulsatility which does not require a
ny on-screen measurements and which has proved reproducible in clinica
l practice, The system gives a six point score for the waveform pulsat
ility, 6 being a normal value and 1 indicating a complete lack of modu
lation.