Close
The liver shows the following imaging features:
- enlarged right lobe span, measuring (19.5 cm)
- heterogeneous parenchymal enhancement and signal intensities, showing mostly sectorial distribution in territories of the hepatic veins.
- no evidence of diffusion restriction and no mass effect, with no abnormal enhancement in the arterial phase. These are associated perfusion changes.
- the hepatic veins (MHV and RHV) show near obliterative occlusion, with a patent retro-hepatic segment of the IVC.
- the left lobe is atrophic and represented only by a small 3.5 cm exophytic tissue replaced by a focal lesion with benign features including spreading puddle of near venous vascular enhancement and no diffusion restriction, mostly a cavernous haemangioma.
The portal vein and PM venous confluence are patent.
Recanalized dilated and tortuous para-umbilical vein is seen. Multiple dilated left gastric/esophagogastric and lienorenal varices are seen.
The spleen is enlarged (15.5 cm).
Mild free upper abdominal ascites is seen.
Also, a note is made of dilated systemic venous collaterals along the internal mammary and lower chest wall.
Both breasts show prominent mammary tissue, representing gynecomastia.