60-year-old male with past medical history of orthotopic liver transplant in 1994 with recurrent cirrhosis. Possible thrombus of portal vein on recent outside CT. ABDOMEN:LIVER, BILIARY TRACT: Susceptibility artifact of the right hepatic lobe and left anterior abdominal wall (series 501 image 19). Cirrhotic liver morphology. Small cyst of the left hepatic lobe demonstrates peripheral T1 hyperintense signal intensity suggestive of proteinaceous material (series 601 image 30, series 902 image 286). Mild narrowing of the intrahepatic IVC. Adherent nonocclusive thrombus of the anterior main portal vein (series 903 image 147). No suspicious parenchymal lesions with washout are identified.SPLEEN: Splenomegaly measuring 22 cm in length. Small anterior splenule. Splenic varices.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Moderate ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small right pleural effusion with overlying passive atelectasis. Cardiomegaly.
1.Cirrhotic morphology with sequelae of portal hypertension including splenomegaly, splenic varices, and moderate ascites. No suspicious liver parenchymal lesion delineated.2.Adherent nonocclusive thrombus of the anterior main portal vein.