History of cirrhosis. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Liver contour: Mild fissural prominence compatible with chronic liver disease/cirrhosis.Features of portal hypertension: Splenomegaly and gastroesophageal varices. Perisplenic collaterals. Recannulated umbilical vein. Splenorenal shunt.Portal vein: Patent. Hepatic veins: Patent.Hepatic artery: Patent.Lesions: No suspicious lesion.Cholelithiasis within a normally distended gallbladder without wall thickening or pericholecystic fluid.SPLEEN: Splenomegaly measuring 19 cm in craniocaudal dimension. No focal suspicious lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Numerous bilateral renal cysts. No hydronephrosis.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.
Cirrhosis with stigmata of portal hypertension without a suspicious liver lesion.