History of cirrhosis presents for HCC screening. History of Crohn's disease. LUNG BASES: Gynecomastia.ABDOMEN:LIVER, BILIARY TRACT: Mild left lobe hypertrophy and contour nodularity compatible with history of cirrhosis. A small cyst is noted. No focal suspicious hepatic lesion. No biliary ductal dilatation. Partially contracted gallbladder. Trace perihepatic fluid.The portal vein is patent. A TIPS catheter obscures evaluation of the right hepatic vein.SPLEEN: The spleen is normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is chronic dilatation of left upper quadrant small bowel, appearing similar to the prior. Overall paucity of small bowel. These findings are compatible with history of Crohn's disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No suspicious liver lesion.