History of myelofibrosis. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again are several benign hepatic cysts. Relative atrophy of the right hepatic lobe. No biliary ductal dilatation. Status post cholecystectomy.Demonstrated again are findings compatible with cavernous transformation of a chronically thrombosed portal vein.SPLEEN: Marked splenomegaly measuring 25 cm in the craniocaudal dimension, compared to 29 cm previously. At the level of the celiac artery origin the spleen measures 17.4 x 11.2 cm in cross-section, compared to 19 x 12.7 cm previously. Stable peripheral nonenhancing abnormality with parenchymal loss suspicious for prior small infarct. Numerous perisplenic collateral vessels are again noted. The largest varix measures 1.9 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several punctate renal cysts, including a proteinaceous/hemorrhagic cyst within the right inferior pole. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Heterogeneous bone marrow signal intensity, consistent with patient's history of myelofibrosis.BONES, SOFT TISSUES: Broad-based peri-umbilical abdominal wall laxity containing small bowel loops.OTHER: No significant abnormality noted.
1.Mild interval decrease in splenomegaly as detailed above. 2.Chronic portal vein thrombosis with cavernous transformation. 