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Support the channel on Patreon: patreon.com/drsamsimaginglibrary CT Liver Normal Vs Cirrhosis Images | Irregular Margins, Splenomegaly, Portal Hypertension, Ascites Liver Cirrhosis CT Features: Surface nodularity: Irregular liver margins Splenomegaly: Abnormal enlargement of spleen Heterogeneous liver appearance Regenerative nodules: Well-defined, round structures which appear slightly hyperdense on non-contrast CT Regenerative Nodules: Do not enhance during arterial phase, hence appearing hypodense during this phase. Siderotic nodules are a subtype of regenerative nodules that contain deposits of iron (hemosiderin) within them. These nodules occur in patients with cirrhosis who also have iron overload conditions, such as hemochromatosis or long-standing hemosiderosis. Regenerative nodules are not visible in portal venous phase Enlarged hilar space filled with fatty tissue, appearing hypodense Ascites: Hypodense fluid accumulated in the abdominal cavity Splenomegaly: Abnormal enlargement of spleen Ascites and Splenomegaly are usually associated with portal hypertension Caudate lobe hypertrophy: Abnormal enlargement of caudate lobe Portal Vein Enlargement (Diameter Less than 15 mm): Indicates portal hypertension Shrunken liver Portal Vein Thrombosis: Hypodense thrombus (clot) within the lumen of portal vein. Cavernous Transformation: Formation of enhancing serpentine, tubular collateral vessels adjacent to the portal vein Esophageal and Paraesophageal Collaterals: Appear as tubular or serpentine structures adjacent to the esophageal wall. They can be seen as enhancing vessels Enlarged Paraumbilical vein: Prominent paraumbilical vein connected to left portal vein branch