The liver shows cirrhotic changes manifesting as bulky left lobe and slightly irregular contours. The hepatic veins and IVC are dilated with early contrast filling and gross cardiomegaly is seen, suggesting passive hepatic venous congestion. Gallbladder oedema, associated with cirrhosis, is also seen.
Portal hypertension manifests as moderate splenomegaly (16.7cm), mild to moderate ascites with areas of partial loculation, diffuse mesenteric congestion, dilated portomesenteric venous axis and multiple peri-splenic collaterals.
Basal lung zones show consolidation in the right middle lobe as well as the laterobasal segment of the lower lobe. There are dilated tortuous vessels within the consolidated right middle lobe, suggestive of type II hepatopulmonary syndrome.