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Enlarged spleen spans 18 cm. Dilated tortuous splenic vein with average 18 mm caliber. Dilated splenic artery. Dilated portal vein 14 mm. Liver shows nodular surface and parenchyma with mild widening of interlobar fissure. Mild fluid in pelvis. No focal liver lesions. No splenic infarctions. No portosystemic collaterals.
The left kidney is displaced inferomedially by the enlarged spleen. Multiple bilateral renal calyceal stones.