62-year-old man with history of alcoholic cirrhosis, please evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. No focal suspicious hepatic lesion identified. There is nonocclusive mural thrombus in the portal vein (1005/194-229) and superior mesenteric vein, similar to the CT from 9/2015. Portosystemic varices noted.The gallbladder is distended and there is trace pericholecystic fluid which is nonspecific in the setting of cirrhosis and ascites. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: Splenomegaly without focal splenic lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts without suspicious focal renal lesion.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate amount of ascites noted.
1.Cirrhotic morphology liver without suspicious focal hepatic lesion.2.Nonocclusive portal vein and SMV thrombus, similar to that seen on CT from 9/2015.