Reason: asees for HCC History: + cirrhosis ABDOMEN: Please note that postcontrast LAVA sequences are nondiagnostic as no enhancement is observed. Postcontrast in/out of phase images appeared to be obtained in the arterial phase.LIVER, BILIARY TRACT: Cirrhotic liver morphology with fissural prominence, compatible with cirrhosis. Bandlike increased T2 signal at the porta hepatis likely represents superimposed fibrosis and is similar to the prior exam. Subcentimeter nonenhancing right renal cyst is unchanged.There is new thrombosis of the splenic vein. Low signal extends within the main portal vein, likely representing partial thrombosis. There is thrombosis of a branch of the right portal vein. SMV is patent.Common bile duct is mildly prominent measuring 1 cm in diameter, however it tapers smoothly distally to the ampulla, appearing similar to the prior exam. Gallstones within the fundus are unchanged.SPLEEN: Splenomegaly measuring 19.5 cm in craniocaudal dimension. Trace splenic fluid is unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing subcentimeter T2 hyperintensities likely represent cysts and are unchanged. Subcentimeter left upper pole hemorrhagic cyst there is stable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Body wall collateral vessels are noted.OTHER: No significant abnormality noted.
1.Limited exam as only limited post contrast sequences were obtained, likely due to technical failure. Thus, this exam is nondiagnostic for evaluation of HCC. Patient will be advised to return for completion of postcontrast sequences.2.Given limited postcontrast imaging, there is new thrombosis of the splenic vein, partial thrombosis of the main portal vein and thrombosis of a branch of the right portal vein.3.Precontrast images again show a cirrhotic liver and findings of portal hypertension.