The liver shows cirrhotic changes with irregular borders and markedly enlarged caudate lobe with heterogeneous patchy enhancement on the delayed phase.
There are linear non-enhancing structures along the different phases of the study, notably in the right lobe mostly representing thrombosed main hepatic veins. The inferior vena cava is compressed by the enlarged caudate lobe.
The spleen is mildly enlarged with normal features. Mildly dilated splenic vein. Dilated gastro-esophageal collaterals.
Moderate free ascites.
Diffusely thickened edematous wall of the gallbladder.