Female 68 years old Reason: Portal HTN, eval for evidence of cirrhosis or for PV thrombosis History: Portal HTN, varices with previous bleed, for possible TIPS placement ABDOMEN:LIVER, BILIARY TRACT: Liver has a cirrhotic morphology. It has a nodular contour and widened fissures.No focal hypervascular liver lesion. The hepatic and portal veins are patent. No intra-or extrahepatic biliary ductal dilation. Status post cholecystectomy.There is trace perihepatic ascites.SPLEEN: Spleen is enlarged in size. There are a few scattered upper abdominal mesenteric varices.PANCREAS: Mild age-related pancreatic fatty atrophy.ADRENAL GLANDS: The left adrenal gland is mildly nodular.KIDNEYS, URETERS: The right kidney has an exophytic cyst from its upper pole. No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: Retroperitoneal or mesenteric lymphadenopathy. There are small upper abdominal portacaval and peripancreatic lymph nodes.BOWEL, MESENTERY: Trace mesenteric ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Status post median sternotomy.
1.Cirrhotic liver without suspicious hepatic lesion.