History of alcoholic cirrhosis. HCC screening, follow up on nonspecific lesions in liver and portal venous thrombosis The examination is degraded by motion artifact.ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. The study is suboptimal to detect small hepatic lesions due to respiratory motion and ascites. The previously described right hepatic dome lesion (series 10, image 34) does not appear to have significantly changed and is too small to characterize.There appears to be complete thrombosis of the portal vein with cavernous transformation. The splenic vein appears patent. The superior mesentery vein is not well-visualized and there are several mesenteric root collateral vessels, similar to prior. There is suboptimal evaluation of the hepatic arteries and veins.SPLEEN: Splenomegaly with spleen measuring up to 15 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left hydronephrosis has resolved. Stable renal cysts.RETROPERITONEUM, LYMPH NODES: An IVC filter is present. Prominent periportal lymph nodes are likely related to patient's liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A partially visualized umbilical hernia is again noted.OTHER: Large volume ascites, similar to prior.
1.Examination limited by motion artifact.2.Cirrhosis with portal hypertension and large jascites. 3.Nonspecific approximately 1 cm right hepatic dome lesion not significantly changed. Continued follow-up is recommended. For follow up examination, recommend paracentesis prior to MRI to reduce artifact.4.Portal vein thrombosis with cavernous transformation. Poorly visualized SMV with mesenteric root collateral vessels appearing similar to prior.5.Interval resolution of previously seen left-sided hydronephrosis.