70 year old male with cirrhosis and gallstones. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour and fissural prominence are compatible with cirrhosis. Bands of increased T2 signal are indicative of superimposed fibrosis. Unchanged right hepatic cyst. No suspicious hepatic lesions identified. Stable mild dilatation of the common bile duct to 9 mm (series 11, image 1). No intrahepatic ductal dilatation or intraductal filling defects noted. Cholelithiasis. Patent hepatic vasculature with enlarged main portal vein. Recanalized umbilical vein and venous collaterals in the subcutaneous tissues of the ventral abdominal wall are compatible with portal hypertension. SPLEEN: Unchanged splenomegaly, also compatible with portal hypertension. PANCREAS: No significant abnormality noted. No pancreatic ductal dilatation. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable left renal cyst. No hydronephrosis. 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.Findings compatible with cirrhosis and portal hypertension as described above, without suspicious hepatic lesion identified. 2.Cholelithiasis. 