79-year-old female patient with autoimmune hepatitis presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Again seen is a T2 hyperintense subcentimeter focus that demonstrates arterial enhancement in the hepatic dome that does not demonstrate washout. It is unchanged in size compared to prior examination, compatible with a hemangioma. No suspicious arterial enhancing lesions with washout are identified.Focal outpouching of the gallbladder fundus is unchanged compared to prior examination and may represent focal adenomyomatosis (series 9 image 37).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Colonic diverticulosis.BONES, SOFT TISSUES: Multilevel thoracic neuroforamina perineural cysts noted. Adjacent to the left T11-T12 (when counting from below) neuroforamina, there is a T2 hyperintense enhancing lesion that measures 1.5 x 1.0 cm (series 6 image 12). This lesion can be identified retrospectively and appears to be slow growing. For reference, on 09/26/2011 this lesion measured 0.9 x 0.8 cm and measured 1.0 x 1.2 cm on 09/04/2013.OTHER: No significant abnormality noted.
1.No suspicious hepatic lesions.2.Stable subcentimeter hemangioma at the hepatic dome.3.Slow growing lesion adjacent to the left T11/T12 neuroforamina is nonspecific and may be of neural origin, such as a schwannoma. Dedicated imaging with thoracic spine MRI can be obtained as clinically indicated.