Cirrhosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain and elevated liver enzymes.

Patient Data

Age: 35 years
Gender: Female
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
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Info

Mild to moderate free fluid is noted in abdominopelvic spaces. 
The liver has irregular margin is keeping with cirrhosis. Numerous small ill-defined low- enhancing masses are noted throughout the liver, most consistent with regenerative nodules. Intra- and extrahepatic bile ducts are of normal caliber.
The gallbladder shows diffuse wall thickening without CT-detectable stone. 
The spleen is enlarged and its cephalocaudal height measured 145mm. 
Mild degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Features on CT scan consistent with cirrhosis with secondary splenomegaly

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