History of portal vein thrombosis. Interval follow-up exam. ABDOMEN:LIVER, BILIARY TRACT: The liver parenchyma has normal signal. No evidence of hepatic steatosis. There is abnormal morphology with hypertrophy of the right hepatic lobe, possibly related to chronic portal vein thrombosis. No focal suspicious parenchymal lesion.Similar to prior, the main portal vein is thrombosed. There are small intrahepatic portal vein branches indicating some residual flow through collateralization/cavernous transformation.No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Marked splenomegaly with the spleen measuring 17.8 cm in length.PANCREAS: The pancreas is mildly atrophic, but maintains normal signal. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. No focal mass lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There are multiple prominent gastroesophageal varices as well as splenorenal shunt collaterals.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Findings compatible with thrombosis of the main portal vein with cavernous transformation appearing similar to prior.2.Sequela of portal hypertension including marked splenomegaly, gastroesophageal varices formation, and prominent splenorenal shunt collateral veins.