65-year-old man with history of cirrhosis, evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in morphology with increased parenchymal signal on opposed phase images. No focal hepatic lesions are identified. The portal vein is occluded and the SMV is not visualized. There is evidence of nonocclusive thrombus in the portal collateral vasculature (series 1001, image 59).The gallbladder is distended with a gallstone at the neck. No evidence of cholecystitis.SPLEEN: The spleen is mildly enlarged. Numerous splenic varices are noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Subcentimeter hyperintense T2 foci in the kidneys likely represent cysts. The kidneys are otherwise normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted of the partially visualized small bowel and colon.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic morphology of the liver without suspicious focal hepatic lesion.2.Portal vein occlusion, SMV occlusion, collateralization with thrombus, and mild splenomegaly.