RIGHT LOBE INFILTRATIVE HEPATOCELLULAR.

FINAL DIAGNOSIS: RIGHT LOBE INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH DECOMPENSATED CHRONIC LIVER DISEASE, FOR SUPPORTIVE CARE. PORTAL HYPERTENSION WITH PORTAL VEIN THROMBOSIS. ESOPHAGEAL VARICES-EVL DONE (OUTSIDE) HISTORY: Mr. HS Shivakumar, aged 55 years, was evaluated elsewhere for complaints of pain abdomen and yellowish discoloration of eye and urine. On investigations found deranged LFT (total bilirubin-5.6, direct bilirubin-4.85). CECT abdomen and pelvis on 22.02.2025, showed Hepatomegaly with surface nodularity and caudate lobe hypertrophy- suggestive of chronic liver parenchymal disease. Few ill-defined peripherally enhancing lesions in the segments 6 and 7-probably HCC. Suggested serum AFP levels and HPE correlation. Portal vein thrombosis with heterogeneous enhancement of the segment 7. Periportal and perigastric collaterals. Minimal ascites with mild mesenteric fat stranding. Borderline splenomegaly. Cholelithiasis with mild wall thickening. Thank you.