43-year-old man with history of early cirrhosis, elevated alkaline phosphatase, and right upper quadrant pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular and cirrhotic in morphology with reticular T2 signal but without focal lesion. The hepatic vasculature appears patent.The gallbladder is normal. The intra and extra hepatic ducts are smooth and nondilated.SPLEEN: Innumerable round, medium-sized splenic lesions are identified. These lesions are prominently T2 hypointense with isointense centers. These lesions do not significantly enhance. The spleen is normal in size.PANCREAS: Pancreas appears normal and the pancreatic duct is nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Innumerable splenic lesions, nonspecific and with differential diagnosis that includes benign or malignant etiologies.2.Cirrhotic liver with fibrosis but no focal hepatic lesion.