Post-contrast CT study revealed, enlarged liver with heterogeneous parenchyma, central patchy enhancement and peripherally hypodense / hypoenhancing, giving nutmeg appearance.
Enlarged caudate lobe. No focal lesion is noted.
The spleen is not enlarged.
Moderate ascites.
The IVC is attenuated but the hepatic veins are not seen clearly. The gallbladder shows increased wall thickness without gallstone.
Right sided pleural effusion.