History of HCV cirrhosis. Presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Iron deposition. Cirrhotic liver morphology with predominantly central fibrosis. Cholelithiasis without evidence of acute cholecystitis. Trace perihepatic ascites.Miliary hypointense lesions throughout the liver parenchyma compatible with siderotic nodules. No suspicious focal lesion is identified. Due to the patient's chronic portal vein obliteration evaluation is slightly limited.Chronic obliteration of the portal vein with innumerable small periportal collateral vessels. The hepatic artery is patent.SPLEEN: The spleen measures 11.3 cm in craniocaudal dimension without a focal lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Splenorenal shunt. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Portosystemic collateral vessel formation including a recanalized periumbilical vein and perigastric cardia collateral vessels.OTHER: No significant abnormality noted.
1.Cirrhosis with periportal fibrosis. No suspicious focal hepatic lesion. Please note that evaluation is slightly limited due to chronic portal vein obliteration.2.Chronic portal vein obliteration with innumerable small periportal collateral vessels. Previously described portosystemic vessel nonocclusive thrombus is no longer visualized.