Presentation
Chronic hepatitis C infection.
Patient Data
Age: Adult
Gender: Male
From the case:
Liver cirrhosis
Axial C+ portal venous phase

Liver cirrhotic changes seen as irregular borders and relatively prominent left lobe and caudate. This is complicated by portal hypertension seen as marked splenomegaly and dilated portal and splenic veins with multiple dilated venous collaterals, most prominent at the lower peri-oesophagal and oesophagal submucosal groups.
Gynecomastia is also seen.
Case Discussion
This case represents usual changes of chronic HCV as liver cirrhosis with evidence of portal hypertension. This patient is at high risk for esophageal bleeding which may be life-threatening.