History of chronic liver disease with hepatic dome lesion on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver is slightly nodular in contour. It measures 17 cm in length. There are findings of portal hypertension including ascites, splenomegaly and perisplenic collateral vessels including splenorenal shunting.No suspicious arterial enhancing lesion, washout, restricted diffusion or T2 hyperintense liver lesion. The previously seen CT abnormalities are not well seen on this study and likely reflect transient hepatic attenuation differences related to perfusional anomalies.Distended gallbladder and gallstones.SPLEEN: Splenomegaly measuring 18.3 cm.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. Gastroesophageal varices are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small pleural effusions.
1.No suspicious liver lesion. The previously seen CT abnormalities likely reflect transient hepatic attenuation differences/perfusional anomalies.2.Findings of cirrhosis and portal hypertension including ascites, splenomegaly, perisplenic collaterals including splenorenal shunting.