67-year-old male. Cirrhosis. HCC screening. Exam is degraded by dielectric effect due to ascites; for future exams, consider doing paracentesis prior to exam for improved diagnostic quality.ABDOMEN:LIVER, BILIARY TRACT: The liver contour is nodular consistent with cirrhotic morphology.Features of portal hypertension: Recanalization of the umbilical vein with paraumbilical varices, esophageal and perigastric varices. Large amount of abdominal ascites.Portal vein: Patent proximal to the TIPS. Patency of the TIPS cannot be assessed due to shunt artifact. Hepatic veins: Middle and left are patent. Right hepatic vein is obscured by the shunt.Hepatic artery: Patent. No suspicious hepatic mass. Subcentimeter T2 hypointense lesion in the right hepatic lobe is consistent with a calcified granuloma, as seen on prior CT.SPLEEN: Splenomegaly measuring 15 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhosis with no suspicious hepatic mass. Findings consistent with portal hypertension.