The liver shows established liver cirrhosis, extensive nodularity, and parenchymal dysmorphism. Large ill-defined infiltrative mass involving the caudate lobe with tumor thrombus extending into the left branch of the portal vein as well as the main portal vein. Early arterial enhancement and washout are seen consistent with HCC. Multiple smaller subcentimetric hypervascular lesions are seen elsewhere in the liver that could be dysplastic nodules rather than multicentric HCC.
Portal hypertension with splenomegaly, opened portosystemic collaterals and ascites.
Incidentally noted is a small gall bladder stone.