40-year-old patient with cirrhosis, jaundice. Evaluate liver lesions, masses, biliary structure, and hepatic vasculature. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. Cholelithiasis without evidence of intra- or extrahepatic biliary ductal dilatation. Arterially timing is suboptimal, however, there are no focal hepatic lesions that demonstrate washout on delayed imaging. The hepatic veins and portal veins are patent. SPLEEN: Splenomegaly.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: Anasarca.OTHER: Moderate ascites. There are splenic varices and a splenorenal shunt. There are bilateral pleural effusions and patchy bilateral airspace opacities.
1.Cirrhotic morphology of the liver with stigmata of portal hypertension. Limited study secondary to motion artifact and poor arterial timing, however, no focal hepatic lesion demonstrating washout to suggest hepatocellular carcinoma; CT should be considered for subsequent evaluation given inherent sensitivity of MRI to motion artifact.2.Bilateral pleural effusions and bibasilar airspace opacities; chest radiograph may be considered for further evaluation.