66-year-old male patient with liver lesion and portal vein thrombosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with macronodular changes. No intra or extrahepatic biliary ductal dilatation. The portal vein is diminutive in appearance and remains patent. The hepatic veins and hepatic arteries are patent. No suspicious lesions are identified. Perigastric and esophageal varices are again noted.SPLEEN: Splenomegaly, measuring up to 16 cm in craniocaudal dimension. Subcentimeter hypervascular lesion in the spleen is nonspecific and is unchanged compared to prior and compatible with a hemangioma.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: Perihepatic and perisplenic ascites appears slightly increased compared to prior examination.
1.No suspicious hepatic lesions identified in a cirrhotic liver.2.Diminutive portal vein, remains patent.3.Slight interval increase in perihepatic and peristaltic ascites.