Female 57 years old Reason: 57 yo with hepatosplenomegaly of unclear etiology History: none ABDOMEN:LIVER, BILIARY TRACT: Liver is enlarged with a nodular contour most suggestive of chronic liver disease. No suspicious hepatic lesions. The main portal vein is mildly dilated. The left and middle hepatic veins are patent. Abnormal signal surrounding the right hepatic vein which may represent some edema. The right hepatic vein itself is patent.There is central hepatic lacelike signal intensities compatible with hepatic fibrosis.Status post cholecystectomy. No significant intrahepatic biliary ductal dilatation.SPLEEN: Spleen is enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Extensive peripancreatic and periportal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Findings of chronic liver disease without focal hepatic lesion. Imaging findings suggest at least grade 2-3 fibrosis.2.Extensive upper abdominal or hepatic and peripancreatic lymphadenopathy as can be seen in chronic liver disease.