CT
Axial non-contrast
Axial C+ arterial phase
Axial C+ portal venous phase
Axial Delayed portal
Axial C+ delayed
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Axial non-contrast
Axial C+ portal venous phase
Liver shows the following:
- cirrhotic changes with surface nodularity and hypertrophied caudate lobe
- multiple bi-lobar patches of low attenuation (<10 HU attenuation in the non contrast phase and <25 HU in the portal venous phase), suggestive of hepatic steatosis
- right hepatic lobe segment VI and left hepatic lobe segment IVa patches of contrast enhancement showing contrast enhancement at the early enhancement at the arterial and portal phases with no contrast wash out at the delayed phase, likely inflammatory in nature
- signs of fibrosis evident by surface nodularity, widened preportal and gallbladder fossae
Portal hypertension and splenomegaly.
Mild abdominal and pelvic ascites.