Abdominal swelling. Three years earlier he had a fatty liver.
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The pancreas enhances normally and there are no masses or cysts. It is normal in size and are no calcifications. The portal and splenic veins enhance normally. The splenic artery is unremarkable.
Large volume ascites again demonstrated. The liver is small with a nodular surface in keeping with cirrhosis. Perioesophageal varices noted.
The kidneys and adrenals are normal. There is subcapsular calcification in the lateral aspect of the spleen, and splenomegaly. The small bowel has oedematous walls that enhance normally. This is most likely due to the degree of ascites / portal hypertension. There is right basal plate atelectasis.
Typical appearances of portal hypertension and cirrhosis. A CT 3 years earlier (not shown) demonstrated only a fatty liver.