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- The liver shows established liver cirrhosis, extensive nodularity and parenchymal dysmorphism. Large ill defined infiltrative mass involving the caudate lobe with tumor thrombus extending into the left branch of the petal vein as well as the main portal vein. Early arterial enhancement and wash out is seen consistent with frank HCC. Multiple smaller subcentimetric hypervascular lesions are seen elsewhere in the liver that could be dysplastic nodules rather than multicentric HCC.
- Portal hypertension with splenomegaly, opened porto-systemic collaterals & ascites.
- Incidentally noted is a small gall bladder stone.