Reason: Eval liver lesions, masses, HCC screen, vessel patency, coronary calcification History: cirrhosis, PVT, seg 7 lesion eval ABDOMEN:LIVER, BILIARY TRACT: Liver is cirrhotic in morphology. The splenic vein and SMV are patent. The extrahepatic portal vein is markedly narrowed with partial thrombus, similar to the prior exam. The intrahepatic portal veins are narrowed but patent. No suspicious hepatic lesions are present. Multiple splenic collaterals as well as gastric and esophageal varices.SPLEEN: Mildly enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left subcapsular fluid collection is unchanged measuring 6.0 x 3.6 cm (4/31), previously 6.2 x 3.7 cm.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right ventral hernia containing bowel loops without evidence of obstruction.BONES, SOFT TISSUES: Multiple compression fractures involving T7, T8, T10-T12, L2, better evaluated on dedicated spine MRI. Scoliosis.OTHER: .Ascites is increased since the prior exam.
1.No suspicious hepatic lesions.2.Narrowing of the portal vein with partial thrombus appears similar to the prior exam.3.Increased abdominal ascites.4.Cirrhotic liver morphology and sequela of portal hypertension including gastric and esophageal varices.5.Multiple vertebral and lumbar compression fractures, better evaluated on recent dedicated spine MRI.