44-year-old female with hepatitis and hepatitis C cirrhosis. Hepatocellular carcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour with widened fissures in a cirrhotic morphology. A recanalized periumbilical vein and multiple perisplenic collaterals indicate portal hypertension as on previous exam. There are scattered, peripheral, elongated foci of enhancement (for example series 1001, image 334) with no washout likely representing perfusion abnormalities. No suspicious hepatic lesion.Normally distended gallbladder with no cholelithiasis. No intra or extrahepatic biliary ductal dilatation.The hepatic vasculature appears patent.SPLEEN: The spleen measures 10 cm in craniocaudal dimension.PANCREAS: There are findings suggestive of pancreatic divisum or an accessory duct through which the majority of the pancreatic secretions drain into the minor papilla. The previously described punctate cystic pancreatic tail lesion is not visualized on today's exam. No suspicious pancreatic lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Splenorenal shunting is redemonstrated. No suspicious renal lesion or hydronephrosis.RETROPERITONEUM, LYMPH NODES: Small periportal lymph nodes are nonspecific in the setting of cirrhosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic liver with findings of portal hypertension. No suspicious hepatic lesion.