67-year-old female with history of cirrhosis. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Marked cirrhotic morphology with increased linear T2 hyperintensity with corresponding diffusion restriction; these likely represent fibrotic changes. No arterially enhancing and washing out lesion.Intrahepatic portal vein is narrowed at the bifurcation with evidence of a clot; there is flow distally to the clot. Extensive intra-abdominal varices as well as dilated superior mesenteric vein and splenic veins compatible with portal hypertension.SPLEEN: Mild splenomegaly persists.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Ascending colonic wall thickening secondary to portal hypertension.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace right pleural effusion.
1.Cirrhotic morphology of the liver with findings of portal hypertension including varices, splenomegaly, and with nonobstructing intrahepatic portal venous clot.2.No evidence of arterially enhancing and washing out lesion to suggest hepatocellular carcinoma.