History of hepatocellular carcinoma status post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis within a partially contracted gallbladder with mild gallbladder wall thickening but no additional specific findings of gallbladder inflammation. Trace perihepatic ascites. Cirrhotic fibrotic liver morphology. No biliary ductal dilatation.The small segment 8 ablation cavity is unchanged without evidence of marginal recurrent or residual disease. No suspicious arterial enhancing and washing out lesion is noted in the liver. Dilated portal vein which is otherwise patent. Recanalized periumbilical vein.SPLEEN: Splenomegaly measuring 17 cm in craniocaudal length. Perisplenic varices.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing cysts. No hydroureteronephrosis or suspicious lesion. Splenorenal shunt formation.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic fibrotic liver morphology with an unchanged segment 8 ablation cavity. No evidence of recurrent or new disease.2.Findings of portal hypertension including splenomegaly and trace perihepatic ascites and collateral vessel formation.