Concern for cirrhosis seen on ultrasound with increasing alkaline phosphatase. ABDOMEN:LIVER, BILIARY TRACT: There is mild relative hypertrophy of the left hepatic and caudate lobe with mild fissural prominence. No focal lesion. The signal intensity of the liver is normal without significant fatty infiltration. No intrahepatic or extrahepatic periductal dilatation. Partially contracted gallbladder. The vessels are patent.SPLEEN: Marked splenomegaly measuring 18 cm in craniocaudal dimension without a focal lesion. The splenic vein is patent.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Marked splenomegaly without a focal lesion or splenic vein occlusion. 2. Morphologic changes very suggestive of chronic liver disease without a focal liver lesion. 