Evaluate portal vasculature. Cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. No discrete lesion.The main portal vein appears chronically thrombosed with reconstitution of the left portal vein distally by small collaterals. Cholelithiasis without evidence of cholecystitis.No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Mild splenomegaly measuring 14.5 cm without a focal lesion. Perisplenic hilum collateral vessel formation with splenorenal shunt. The splenic vein is patent. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Extensive right-sided retroperitoneal and mesenteric collateral vessel formation.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate right-sided pleural effusion with adjacent compressive atelectasis.
1.Cirrhosis without a focal lesion. Stigmata of portal hypertension. Extensive porto-systemic collateral vessels.2.Chronically thrombosed main portal vein with reconstitution of the left portal vein by small collateral vessels in the porta hepatis. 3.Moderate right-sided pleural effusion.