61-year-old woman with history of alcoholic cirrhosis, please evaluate for underlying lesions and portal venous patency. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. No focal hepatic lesion identified.There is cholelithiasis. Mild gallbladder wall thickening is nonspecific in the setting of ascites. There is minimal intrahepatic biliary ductal dilatation.SPLEEN: There is mild splenomegaly.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: Large volume of ascites in the abdomen. Small bilateral pleural effusions with adjacent atelectasis.
1.Limited examination without contrast enhancement and with significant dielectric artifact from large volume ascites. As per discussion with Kara Davey by phone at 16:30 on 10/14/2016, patient has had paracentesis and will return for pre and postcontrast imaging.2.Grossly no focal hepatic lesion seen.