72-year-old female with hepatitis C cirrhosis. HCC screening. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mildly nodular contour to the liver, consistent with cirrhosis. Heterogeneous arterial enhancement of the right hepatic lobe on arterial phase images with multiple nodular and peripheral areas of increased enhancement. No corresponding lesions on the remainder of the sequences. This is most likely related to transient hepatic arterial differences (THAD). No suspicious hepatic lesions. No biliary ductal dilatation. Hepatic vessels are patent. SPLEEN: Multiple splenic varices with evidence of spleno-renal shunting, similar prior study. Mild splenomegaly measuring 12.7-cm, unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Mild calcific atherosclerotic disease of the aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES:Mild degenerative changes in the thoracolumbar spine.OTHER: No significant abnormality noted
1. No suspicious hepatic lesions.2. Splenic varices with mild splenomegaly consistent with portal hypertension.