Cirrhosis with worsening jaundice. Evaluate for biliary dilatation. ABDOMEN:LIVER, BILIARY TRACT: Small nodular liver compatible the history of cirrhosis. There is reticular increased T2 signal throughout the hepatic parenchyma compatible with fibrosis. The hepatic arteries and veins are widely patent. The splenic vein is moderately dilated measuring 17 mm. The extrahepatic and intrahepatic portal vein are diminutive appearing similar to prior. Prominent splenorenal collaterals measuring up to 16 mm.Stable subcentimeter cystic focus in the hepatic dome. No suspicious arterial enhancing lesions.No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 7 mm in diameter.SPLEEN: Splenomegaly with the spleen measuring 17 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly prominent periportal lymph nodes likely reactive in the setting of chronic liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable examination with cirrhotic liver and findings of portal hypertension. No biliary ductal dilatation. No suspicious arterially enhancing lesions. 2.The portal vein remains diminutive which is similar to the prior exam. Ultrasound maybe useful for further evaluation.