Presentation
Elevated liver enzymes.
Patient Data
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The liver has nodular parenchyma and irregular margin in keeping with cirrhosis. No hepatic mass is identified in the current study.
Recanalization of the vessels in the falciform ligament and umbilical vein is accompanied by dilated collateral vessels at perigastric, distal paraesophageal, and splenorenal regions inferring portal hypertension.
Huge splenomegaly is observed, and cephalocaudal height of spleen measured 188 mm.
Multiple hyperdense gallstones are seen.
A few small stones are seen in both kidneys.
Case Discussion
Cirrhosis with evidence of portal hypertension and splenomegaly.