56-year-old female. PVT, and dysplastic nodules. Follow-up both while awaiting OLT. Cirrhosis. ABDOMEN: LUNG BASES: Stable appearance of T2 hyperintense lesion in the right cardiophrenic angle consistent with a pericardial cyst.LIVER, BILIARY TRACT: Cirrhotic liver morphology with diffuse lattice-like fibrosis. Numerous regenerative nodules. T1 hyperintense and T2 iso/hypointense, nonenhancing nodule in the hepatic dome is 1.1 x 1.1 cm, previously 1.1 x 1 cm (series 801, image 414). A second similar nodule just above the gallbladder fossa is 1.2 x 1 cm (series 801, image 284), previously 1.1 x 1 cm. These are most suggestive of dysplastic nodules. No new suspicious hepatic mass.The main portal vein is patent but markedly attenuated from the portosplenic confluence to the right and left intrahepatic branches, unchanged. Large perisplenic varices, unchanged. Cholelithiasis.SPLEEN: Stable splenomegaly measuring 18 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal scarring and cortical thinning, unchanged. RETROPERITONEUM, LYMPH NODES: Prominent periportal lymph nodes, unchanged. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable two hepatic nodules most suggestive of dysplastic nodules. No new suspicious hepatic mass.2.Attenuated but patent portal vein and findings of portal hypertension.