66-year-old male patient with NRH, portal hypertension. Evaluate for HCC> LIVER: The liver measures 10.6 cm in length. No focal hepatic lesion is identified. Hepatic parenchymal echogenicity is increased. The main portal vein is thrombosed, unchanged. Multiple collateral vessels are redemonstrated with hepatopetal flow within the left portal vein.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.3 cm in length. No evidence of hydronephrosis.The spleen measures 21 cm in length. The splenic vein appears thrombosed near the portal confluence.No ascites.
1. Cirrhotic morphology of the liver with chronic thrombosis of the portal vein with collateral vessel formation. No discrete hepatic lesion is identified.2. Splenomegaly.3. No ascites.  