Objective:Through the liver cirrhosis patient conventional ultrasonic inspection and gastrointestinal imaging method after the caudate lobe papillary process inspection, review cirrhosis of the liver caudate lobe papillary process of ultrasonographic performance, and the misdiagnosis and missed diagnosis cases image contrast analysis, this paper discusses the background of cirrhosis of the liver caudate lobe papillary process differential diagnosis methods of improvement.Methods:Our choice of inpatient and outpatient have enhanced CT data of 210 cases of patients with liver cirrhosis, we first do conventional abdominal viscera check, and observe whether papillary process exists, and record the size, shape. To drink to help show agent do gastrointestinal examination, look again for papillary process exists, and record the size, shape. Results:The conventional ultrasound in 210 patients, statistics show that rate: 13.8%, the misdiagnosis rate: 6.2% (the misdiagnosis rate = the missed + false positive and false negative). Gastrointestinal angiography after ultrasound 210 patients: statistics show rate: 18.1%, the misdiagnosis rate: 1.4% (the misdiagnosis rate = the missed + false positive and false negative). Conclusion:The stomach drink help show agent after filling moment window ultrasonic differential diagnosis of liver caudate lobe papillary process and structure, and a conventional ultrasound diagnosis coincidence rate compared to increased significantly, and help the differential diagnosis, it is worth for spreading application.