66-year-old male with history of cirrhosis. Evaluate portal vein. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. The portal vein is diminutive but remains patent. Hepatic veins and hepatic arteries are patent. Perigastric and esophageal varices. No suspicious arterially enhancing lesion. There is a subcentimeter segment 8 lesion which appears to washout on delayed images (series 14, image 241; this does not demonstrate arterial enhancement.SPLEEN: Splenomegaly. Subcentimeter hypervascular lesion in spleen is nonspecific and unchanged; this may represent 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: Persistent perihepatic and perisplenic ascites. Small to moderate-sized hiatal hernia.
1.No suspicious hepatic arterially enhancing lesions identified in a cirrhotic liver. Questionable washout of a subcentimeter segment 8 lesion. Attention on follow-up imaging is recommended.2.Diminutive portal vein, which remains patent.3.Persistent perihepatic and perisplenic ascites.