Male; 44 years old. Reason: Cirrhotic male with hepatic hydrothorax. Requesting a triple phase liver protocol MRI pre TIPS History: Cirrhotic male with hepatic hydrothorax. Requesting a triple phase liver protocol MRI pre TIPS ABDOMEN:LUNG BASES: Very large right pleural effusion and right lower lobe atelectasis, similar to prior study. Gynecomastia.LIVER, BILIARY TRACT: Small, nodular cirrhotic liver. No focal hepatic lesions. Portal veins and hepatic veins are patent. Stable mild narrowing of the proximal main portal vein due to probable chronic marginal thrombus. SPLEEN: Marked 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: Small bowel wall thickening, likely related to hypoproteinemia.BONES, SOFT TISSUES: Large amount of body wall anasarca.OTHER: Extensive portosystemic collateral varices throughout the abdomen, similar to prior study. Moderate ascites.
1. Cirrhotic liver without focal mass.2. Evidence of portal hypertension including splenomegaly and ascites.3. Very large right pleural effusion.