History of cirrhosis. Presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour, fissural prominence and morphology compatible with cirrhosis.Bandlike reticular increased T2 signal especially near the porta hepatis is compatible with superimposed fibrosis. Stable subcentimeter right hepatic lobe cyst.No discrete suspicious lesion is evident.Mildly prominent common bile duct tapers smoothly at the level of the ampulla without a discrete mass or stone. This is unchanged.The portal vein, hepatic veins and hepatic artery are patent.SPLEEN: Splenomegaly measuring 19 cm in craniocaudal dimension. Trace perisplenic fluid.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing subcentimeter renal lesions, likely cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted. Recanalized umbilical vein. Small retroperitoneal, periportal and peripancreatic lymph nodes are likely reactive and are unchanged.BONES, SOFT TISSUES: Body wall collateral vessels are noted.OTHER: No significant abnormality noted.
Cirrhosis and stigmata of portal hypertension including splenomegaly without a suspicious liver lesion. Minimal perisplenic fluid, decreased from the prior study. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.