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Patient’s Name:   
Date:    Referred by:  Dear Colleague   
Examination:  CT ABDOMEN   
Techniques:   CT ABDOMEN, Contiguous axial cuts were obtained through the abdomen with oral & IV contrast and revealed


REPORT


The liver appears shrunken displaying diffuse irregular hepatic outlines with hypertrophied caudate lobe & poor parenchymal enhancement denoting chronic diffuse parenchymatous liver disease. No evidences of  focal hepatic lesion or intra-hepatic biliary radicals dilatation were detected.

The spleen appears mildly enlarged displaying normal homogeneous CT density. No evidences of splenic masses or cysts were detected.
Extensive porto-systemic venous collaterals were detected at the splenic hilum & along the lesser curvature of the stomach.

The pancreas: appears average in size displaying normal CT density. No evidences of pncreatic masses or cysts were detected.

The gall bladder appears average in size displaying normal wall enhancement. No evidences of intra-luminal calculi or masses were detected.

Both kidneys appear average in size displaying normal function & parenchymal enhancement. No evidences of renal masses, stones, cysts or back pressure changes  were detected.

No evidences of abdominal lymphadenopathy were detected.
Moderate amount of clear ascites is noted.

CONCLUSION:
     Chronic diffuse parenchymatous liver disease with splenomegaly, ascites & extensive porto-systemic collaterals (Portal hypertension).


                             Thanks,