5-year-old male patient with hepatosplenomegaly grade 3 esophageal varices.EXAMINATION: MR abdomen without and with IV contrast 11/12/2015 ABDOMEN:LIVER, BILIARY TRACT: The liver measures 12 cm in craniocaudal dimension. Left lobe of the liver is scalloped in appearance. Tortuosity of the hepatic arterial and portal venous system predominantly in the left lobe of the liver with prominent peripheral vessels draining into the inferior vena cava at the hepatic dome. Extrahepatic portal vein is tortuous. No filling defect seen on postcontrast images. No intra or extrahepatic biliary ductal dilatation. No cholelithiasis.SPLEEN: Splenomegaly, measuring up to 13 cm in craniocaudal dimension.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality.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.Tortuous appearance of the hepatic arterial and portal venous system in the left lobe of the liver as well as the extrahepatic portal vein. Given patient's history of prematurity (born at 24 weeks gestational age), patient probably had an umbilical venous catheter that may have caused portal vein thrombosis with resultant cavernous transformation and portal hypertension.2.Splenomegaly.