History of alcoholic cirrhosis and hepatitis C. ABDOMEN: The study is suboptimal due to respiratory motion.LIVER, BILIARY TRACT: Cirrhotic liver morphology with diffuse nodularity and increased reticular T2-weighted signal intensity suggestive of fibrosis.Stable segment 2 lesions demonstrating mild T2 weighted hyperintensity and T1 weighted hypointensity without arterial enhancement. These measure approximately 1.9 and 1.6 cm.Stable segment 7 peripheral 2.0 cm lesion (series 8/50) with similar imaging characteristics.Stigmata of portal hypertension including mild perihepatic ascites, splenomegaly, retroperitoneal and ventral varices.The vessels appear patent. No biliary ductal dilatation.SPLEEN: Splenomegaly measuring 27 cm in craniocaudal dimension without a focal lesion.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.
Suboptimal study due to patient motion artifact.Cirrhosis with stigmata of portal hypertension.Stable hepatic lesions do not demonstrate arterial enhancement and hence do not fulfill imaging criteria for hepatocellular carcinoma. These may represent cirrhosis associated nodules (regenerative and/or dysplastic) versus atypically mildly hyperintense cysts.