The liver is cirrhotic showing irregular nodular outer border and hypertrophied left lobe. There is abnormal enhancement of the hepatic parenchyma, mainly the left lobe, in the arterial phase denoting diffuse malignant infiltration. Moreover, there is early enhancement of the left branch of portal vein suggestive of arterio-portal fistula and a large thrombus seen occupying the main portal and right branch of PV and the thrombus extends to the proximal part of the splenic and superior mesenteric veins as well. Nevertheless, multiple gastric fundal and splenorenal dilated portosystemic venous collaterals are seen.
Other findings include mild perihepatic ascites, chronic calcular cholecystitis and two small left renal stones.