hepatobiliary system
diffuse nodular surface of the liver is compatible with cirrhosis. there is a slight t2 hyperintense/T1hyperintense subcapsular nodule in the segment 5/6 liver, measuring 2.1*2.9 cm . after IV primovist this nodule show some degree of enhancement on arterial phase, no wash-out on venous phase and relatively uptake primovist on hepatobiliary.
multiple T1 hyperintense dysplastic nodules in both hepatic lobes are noted, measuring up to 2.1 cm in diameter (segment 8/5 liver) compatible with dysplastic nodules .portal vein, hepatic vein and IVC are normal. the gallbladder shoes no stone or wall thickening.mild dilated CBD measures 0.8 cm.
pancreas spleen and both adrenal glands
splenomegaly measures 17.4 cm . there is no splenic mass. splenic vein is patent.
the pancreas shows on mass or dilated main pancreatic duct. bilateral glands show no nodule.
KUB system
there is normal size and contour of both kidneys. no renal mass or hydronephrosis is seen.
gastroinestinal system
no evidence of bowel obstruction is demonstrated.
trace free fluid in the upper abdomen is noted.
portosystemic collateral vessels are seen.