Presentation
Abdominal bloating.
Patient Data
Small liver with irregular surfaces. No focal hepatic lesion. Extensive varices within the upper abdomen. Partial thrombosis of the portal vein. Para umbilical vein recanalization. Splenomegaly with a craniocaudal dimension of 18.5 cm. Trace of free fluid within the mesentery.
Upper para-aortic and aortocaval lymphadenopathy.
Case Discussion
This patient had a known history of cirrhosis with features of portal hypertension on this CT.
Upper abdominal lymphadenopathy has been reported in the setting of end-stage cirrhosis (benign portal hyperplasia) 1 although is non-specific and malignancy (lymphoma, metastases) is within the differential.
This patient was lost to follow-up and the exact cause of lymphadenopathy is not known.
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