History of cystic fibrosis and liver disease. Presenting for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. The portal vein, hepatic artery and hepatic veins appear patent.There is suboptimal timing of the late arterial phase. Given this limitation there is no suspicious liver lesion. No biliary ductal dilatation.Normally distended gallbladder with pericholecystic fluid/wall thickening which is not atypical in the setting of cirrhosis.SPLEEN: Marked splenomegaly measuring 19.1 cm in craniocaudal dimension compatible with portal hypertension. Perisplenic collateral vessels.PANCREAS: Marked fatty atrophy of the pancreas. Prominent peripancreatic and porta hepatic lymph nodes, not uncommon in the setting of cirrhosis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The right hemicolon wall appears thickened and edematous which may reflect portal hypertensive colopathy.BONES, SOFT TISSUES: Recannulation of the umbilical vein.OTHER: No significant abnormality noted.
1.Cirrhosis with findings of portal hypertension. Splenomegaly.2.No suspicious liver lesion.3.Right hemicolon wall thickening may reflect portal hypertensive colopathy in the absence of signs and symptoms of colitis. 