School ager with cystic fibrosis and abdominal pain

CT of cystic fibrosis causing liver cirrhosis and pancreatic insufficiency
Coronal CT with contrast of the abdomen (above) shows a marked nodular contour to the liver and multiple dilated veins around the spleen. Coronal CT with contrast of the abdomen (below) shows diffuse fatty replacement of the pancreas.

The diagnosis was cystic fibrosis causing cirrhosis of the liver and esophageal varices and cystic fibrosis causing pancreatic insufficiency.