Demographics:
70 years old, Female
Indication:
Right upper quadrant pain, history of ablated HCC
Findings
Lower chest
- Mild mosaic attenuation of the lungs which may relate to small vessel or small airways disease
- Left lower lobe micronodule
Abdomen/Pelvis
- Nonocclusive thrombus in the main portal vein
- Hypoattenuating ablation zone in segments 7/8 without associated nodular enhancement
- Cirrhotic liver morphology
- Splenomegaly
- Multiple upper abdominal venous collaterals including esophageal varices and a large splenorenal shunt
- Cholelithiasis
- Mild extrahepatic biliary duct dilation
- Low insertion of the cystic duct
- Subcentimeter hypoattenuating lesion in the lower pole of the left kidney is too small to characterize
- Colonic diverticulosis
- Hysterectomy
MSK
- No acute findings
- Polyarticular degenerative changes
Diagnosis
Portal vein thrombosis
Sample Report
Nonocclusive thrombus in the main portal vein.
Hepatic cirrhosis with stigmata of portal hypertension including esophageal and upper abdominal varices and splenomegaly.
Ablation zone in the right hepatic lobe without associated nodular enhancement to suggest residual/recurrent disease.
Cholelithiasis without evidence of acute cholecystitis.
Discussion