Do you obtain liver biopsy to confirm the diagnosis of cirrhosis if cirrhotic liver morphology is noted on imaging?

This question touches upon two interesting trends:

1) There is an increasing trend in Radiology to report "cirrhotic liver morphology" in the "Impressions" section. When you then review the Body of the report, often these cases are noted to only have a heterogeneous appearing liver with surface nodu...

In general, if the radiographic imaging is compatible with cirrhosis and other signs of portal hypertension, I normally do not do a biopsy. There is also FibroScan that one could do to determine the liver stiffness- this is a noninvasive method to determine the degree of fibrosis/cirrhosis without d...