Male 60 years old Reason: eval for lesions, assess hepatic vessel patency History: cirrhosis, s/p OLT 10/94 ABDOMEN:LIVER, BILIARY TRACT: Liver has mildly widened fissures and and hypertrophy of the left hepatic lobe compatible with chronic liver disease.Hepatic artery and portal veins are patent. Hepatic veins are narrowed probably due to central fibrosis but remain patent. No suspicious hepatic lesions identified. Metallic artifact is noted in the right hepatic lobe that partially obscures the right hepatic lobe.Probable cyst in the left hepatic lobe near the dome.No significant intrahepatic biliary ductal dilatation. Common bile duct is normal in caliber.SPLEEN: Spleen is enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount upper abdominal ascites.
1.Findings of chronic liver disease without suspicious hepatic lesion; patent hepatic vasculature.2.Biliary tree is normal in caliber.3.Findings suggestive of elevated portal pressures with mild upper abdominal ascites and splenomegaly.