Case 138: Metastasis - Ovarian Cancer
80 year old woman with pancreatic adenocarcinoma.
CT: Capsular metastases causing "pseudocirrhosis"
CT shows capsular implants (undulating capsular contour), ascites, and peritoneal implants (arrowheads) creating the appearance of a cirrhotic contour ("pseudocirrhosis") and portal hypertension: however note that liver capsule demonstrates scalloping and concave deformities, rather than a convex nodularity like it is usually seen in cirrhosis or pseudocirrhosis secondary to parenchymal metastatic disease or other fibrotic processes. Ascites is malignant and not a complication of portal hypertension.