Male 66 years old with portal vein and superior mesenteric vein thrombosis, please assess clot burden and screen for HCC. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour with widened fissures and central fibrosis consistent with cirrhosis. Siderotic nodules are again seen throughout the liver. No new or suspicious liver lesion is identified. There is trace perihepatic ascites.Chronic thrombosis of the portal vein with numerous small periportal collateral vessels appears similar to the previous exam. Visualized hepatic artery patent.SPLEEN: Splenorenal shunting is redemonstrated.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or suspicious renal lesion. Splenorenal shunting is redemonstrated.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Perigastric cardiac collateral vessels are again seen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver with periportal fibrosis and siderotic nodules. No new or suspicious liver lesion although please note that evaluation is slightly limited also due to chronic portal vein obliteration.2.Chronic thrombosis of the portal vein with numerous small periportal collateral vessels appears similar to the previous exam.