Female 73 years old with a recent intra operative biopsy negative for HCC and positive for cirrhosis. Assess for HCC. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with patchy T2 hyperintensity compatible with cirrhosis. There is no suspicious liver lesion. A mildly T1 hyperintense subcapsular segment 6 lesion has no internal enhancement on subtraction images and is consistent with a regenerative nodule . Splenorenal shunting is noted and there are paraesophageal varices.The hepatic vasculature is patent. Status post cholecystectomy with mild prominence of the biliary system, unchanged.SPLEEN: Splenorenal shunting is noted.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology. No suspicious hepatic lesion.2.Patent hepatic vasculature.3.Evidence of portal hypertension with paraesophageal varices and splenorenal shunting.