45-year-old woman with history of portal vein occlusion and worsening LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is small and cirrhotic in morphology. No focal hepatic lesion is identified. The portal vein is not visualized beyond the confluence of the SMV and splenic vein. There are numerous, large collateral vessels in the upper abdomen. The gallbladder appears normal.SPLEEN: Spleen is mildly enlarged.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands appear normal.KIDNEYS, URETERS: The kidneys are normal and enhancement symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: Partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a large right pleural effusion.
1.Cirrhotic liver with nonvisualization of the portal vein suggesting thrombosis with large portosystemic collaterals.2.Large right pleural effusion.