Speech in Hepatic Encephalopathy (HE)

Inclusion Criteria for Patients with Cirrhosis: * Cirrhosis, as diagnosed by imaging, elastography, biopsy, or decompensation * Able to provide informed consent in English Exclusion Criteria for Patients with Cirrhosis: * Neurodegenerative disorder (other than hepatic encephalopathy) including Alzheimer's disease and dementia * Prior stroke or Transischemic Attack (TIA) * English not primary language for communication Inclusion Criteria for Patients without Cirrhosis: * Able to provide informed consent in English * Fibroscan with stiffness \<7 kPa Exclusion Criteria for Patients without Cirrhosis: * Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) \>5 times the upper limit of normal in the last year * History of cirrhosis by imaging or histology or clinical decompensation * Neurodegenerative disorder (other than hepatic encephalopathy) including Alzheimer's disease and dementia * Prior stroke or TIA