History of cirrhosis and portal vein thrombosis. Evaluate portal vein. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic nodular liver morphology.Cholelithiasis within a normally distended gallbladder without specific evidence of gallbladder inflammation.No suspicious arterially enhancing and washing out lesion.The portal vein is nonopacified and is markedly attenuated. There is reconstitution of attenuated left portal vein at the hepatic hilum, as well as proximalmost right portal vein.SPLEEN: Splenomegaly measuring 15.4 cm in craniocaudal dimension. Trace perisplenic ascites. Perisplenic collateral vessel formation.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small volume of abdominopelvic ascites. Extensive right-sided retroperitoneal and mesenteric collateral vessels.BONES, SOFT TISSUES: Mild dependent body wall edema. Gynecomastia.OTHER: Moderate right-sided pleural effusion with adjacent consolidation/atelectasis, slightly improved from prior.
1.Cirrhotic liver with no suspicious lesion. 2.Chronically thrombosed main portal vein. Reconstitution of an attenuated left portal vein as well as proximalmost right portal vein at the hilum.3.Moderate size right-sided pleural effusion with adjacent consolidation/atelectasis, slightly improved. 4.Stigmata of portal hypertension including extensive portosystemic collateral vessel formation and splenomegaly.