60-year-old female with splenic abnormality who presents for MRI evaluation. ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense subcentimeter lesions compatible with cysts. Again noted is atrophy of the right hepatic lobe.Postoperative changes of cholecystectomy. No intra or extrahepatic biliary ductal dilatation. Chronic portal venous thrombosis with cavernous transformation and splenorenal shunting.SPLEEN: Unchanged marked splenomegaly with the spleen measuring approximately 24 cm in the cranial caudal dimension and 17 x 11 cm in the transverse dimension. The spleen demonstrates T1 and T2 heterogeneity with evidence of T2 intermediate signal lesions which don't demonstrate contrast enhancement. Additionally, there is evidence of iron deposition. This is not significantly changed compared to the prior exam.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter T1 hypointense, T2 hyperintense, nonenhancing lesions compatible with cysts. Additionally, there are subcentimeter T1 hyperintense, nonenhancing lesions compatible with proteinaceous cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Unchanged splenomegaly and appearance of the spleen. 2.Chronic portal venous thrombosis with splenorenal shunting.