Liver cirrhosis, chronic hepatitis C, evaluate for HCC ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour and fissural prominence, compatible with cirrhosis. Bandlike areas of increased T2 signal indicative of superimposed fibrosis. Stable subcentimeter right hepatic cyst. No suspicious liver lesion delineated. Stable to mildly increased dilatation of biliary duct dilatation, common bile duct measures 11 mm, previously measured 9 mm. Recanalized umbilical vein and venous collaterals, including in subcutaneous tissues of ventral abdomen.SPLEEN: Splenomegaly, spleen measures 19.8 cm in longitudinal dimension, unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing subcentimeter renal lesions, most likely cysts.RETROPERITONEUM, LYMPH NODES: Small retroperitoneal and periportal lymph nodes, likely reactive in etiology.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: New ascites.
Hepatic cirrhosis and additional stigmata of portal hypertension including splenomegaly. No suspicious liver lesion.New ascites, no significant change otherwise.