Presentation
Abdominal pain and elevated liver enzyme.
Patient Data
Age: 30 years
Gender: Female
From the case:
Cirrhosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/97457/annotated_viewer_json?iframe=true\u0026lang=us"}
Small and diffusely nodular liver with irregular borders is present. There is no CT-detectable hypervascular mass in liver parenchyma to suggest HCC. Filling defect is present within the main portal vein and its branches in favor of thrombosis. Intra & extrahepatic bile ducts appear normal. The gallbladder is contracted.
Splenomegaly is present and its craniocaudal height measured about 170mm. Numerous collateral vessels within the omental and the lower paraesophageal regions indicative of severe portal hypertension.
Case Discussion
Cirrhosis with evidence of portal hypertension and splenomegaly.