Viral hepatitis C, cirrhosis, please evaluate for HCC ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Not well seen on prior study is curvilinear hypointense signal in main portal vein extending towards confluence with SMV, see postcontrast image 145 series 9 and image 242 series 9 as well as image 22 series 6 (in latter case, normal T2 signal void at this level appears compromised). Status post cholecystectomy.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst.RETROPERITONEUM, LYMPH NODES: Prominent cardiophrenic and periportal lymph nodes most likely reactive in setting of cirrhosis.BOWEL, MESENTERY: Thick-walled hepatic flexure of colon likely reflects underlying portal colopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate ascites.
1. Cirrhotic liver morphology. No suspicious liver lesion.2. Not well seen on prior study is curvilinear hypointense signal in main portal vein extending towards confluence with SMV, suspicious for nonocclusive portal vein thrombus, may be further evaluated with dedicated ultrasound imaging. 3. Additional findings as above. 