60-year-old female with jaundice and transaminitis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver with nodular surface contour and hypertrophy of the left hepatic lobe. Loss of signal diffusely on opposed phase images, suggestive of hepatic steatosis. Subcentimeter segment 3 cyst. No suspicious hepatic lesions. Portal and hepatic veins are patent.No biliary ductal dilation. Biliary sludge and/or small stones seen layering dependently within the gallbladder.SPLEEN: Splenomegaly. 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: Wall thickening of the partially visualized colon, most likely related to portal colopathy. Small gastroepiploic and gastric varices noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate to large amount of upper abdominal ascites. Trace pleural effusions, partially visualized.
Cirrhotic liver with findings suggestive of portal hypertension. No suspicious hepatic lesions.