72-year-old male with cirrhosis of the liver. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Again seen is thrombosis of the splenic vein, partial thrombosis of the main portal vein and thrombosis of a branch of the right portal vein. Delayed enhancement corresponding to bandlike increased T2 signal at the porta hepatis likely represents fibrosis and is unchanged.8mm enhancing focus right hepatic lobe (502/517) with apparent washout on delayed images. Additional nonenhancing lesions likely represent cysts.SPLEEN: Splenomegaly. Wedge-shaped peripheral hypoattenuation likely represents infarct.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing subcentimeter T2 hyperintensities likely represent cysts and are unchanged. Subcentimeter left upper pole hemorrhagic cyst is stable.RETROPERITONEUM, LYMPH NODES: Small linear signal abnormality in the proximal celiac artery extending approximately 1.5 cm (502/407) likely represents a small dissection.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Body wall collateral vessels are noted. Bilateral gynecomastia. Lower thoracic vertebral body hemangioma.OTHER: No significant abnormality noted.
1.Signal abnormality in the right hepatic lobe in the distribution of the thrombosed right portal vein is indeterminate. Follow-up of this region on subsequent exams is recommended.2.Thrombosis of the splenic vein, partial thrombosis of the main portal vein and thrombosis of a branch of the right portal vein.3.Splenic vein thrombosis.4.Small probable dissection of the proximal celiac artery.