79-year-old woman with history of HCV cirrhosis, evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour and the fissures are widened. An approximately 1 x 1 cm lesion in the dome of the liver (series 3, image 5) is hyperintense on T2 and diffusion-weighted sequences, but there is no contrast washout on delayed phase images. The gallbladder appears normal.SPLEEN: The spleen is enlarged at 13 cm. Splenic varices are noted.PANCREAS: The pancreatic parenchyma is severely atrophied and the remaining pancreatic duct is irregularly dilated measuring up to 15 mm in the pancreatic head. No obstructing lesion is identified.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Small enhancing lesion in the hepatic dome which can be followed if clinically appropriate.2.Stable dilation of the pancreatic duct which may represent chronic pancreatitis or main duct type IPMN.