Two calcified splenic artery aneurysms (max diameter 16mm) and splenomegaly.
A large extrahepatic portosystemic shunt is present, originating from the left distal external iliac vein, weaving tortuously up the anterior abdomen where it communicates with a recanalised umbilical vein before terminating at the left branch of the portal vein (see CPR reformat).
The portal vein max diameter measures 21mm, with no evidence of a venous thrombus.
Irregular liver margins indicate cirrhosis.
Small pericardial and bilateral pleural effusions.