77-year-old female patient with HCV cirrhosis and intermittent abdominal pain. ABDOMEN:LUNG BASES: There is a loculated pleural effusion in the right lung. Recommend dedicated chest radiograph or CT. Susceptibility artifact from median sternotomy hardware noted.LIVER, BILIARY TRACT: Cirrhotic liver morphology. No suspicious arterial enhancing lesions seen. Mildly enlarged perihepatic and periportal lymphadenopathy appears similar compared to prior examination. Hepatic vasculature is patent.Status post cholecystectomy. Mild intrahepatic biliary ductal dilatation, stable. Common bile duct is normal in size and stable compared to prior.SPLEEN: Multiple lesions with blooming artifact in the spleen may represent cirrhotic nodules. Spleen is upper limit of normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Residual punctate focus of T2 hyperintense signal in the inferior left adrenal gland from prior hemorrhage. Persistent nodularity of the left adrenal gland appears similar compared to prior examination.KIDNEYS, URETERS: Bilateral renal cysts are stable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Cardiomegaly.
1.Cirrhotic liver morphology without suspicious lesion identified. Stable mild intrahepatic biliary ductal dilatation.2.Loculated right pleural effusion. Suggest dedicated imaging of chest as indicated.3.Stable appearance of left adrenal gland from prior hemorrhage.