Male 9 years old Reason: concern for splenic vein thrombus; please evaluate splenic vein with MRV History: grade 2 esophageal varices on EGD, past evidence of splenic infarct on imaging ABDOMEN:Motion artifact limits sensitivity of examination.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: The spleen is markedly enlarged, with multiple small, subcentimeter foci of decreased signal intensity.PANCREAS: Pancreas is normal in appearance.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.MRV: The portal vein, splenic vein, hepatic veins, and IVC are patent with no evidence of thrombus.OTHER: Small to moderate amount of ascites is present.
1.Patent vasculature with no evidence of thrombus, specifically no splenic vein thrombus.2.Splenomegaly.3.Small to moderate ascites.