Reason: Post TACE/RFA, evaluate for new or recurrent HCC; Evaluate IPMN History: HCV cirrhosis, SVR; HCC s/p TACE/RFA, IPMN ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic liver morphology.The segment 8 ablation cavity measures approximately 1.8 x 1.3 cm, compared to 1.8 x 1.3 cm previously. There is again a punctate nodular focus of arterial enhancement along the anterior aspect of the ablation cavity without definite washout. Minimal thin enhancement around the ablation cavity is unchanged.There is plaque-like enhancing focus at the gallbladder fundus measuring 0.4 x 0.8 cm, not significantly changed back to 1/6/2015, with associated T2-weighted cystic intensity on prior exams, likely focal adenomyomatosis. Cholelithiasis without cholecystitis. Recanalized umbilical vein. The common hepatic artery originates from the aorta. The vessels are patent.Cholelithiasis without evidence of cholecystitis. No biliary ductal dilatation.SPLEEN: Stable mild splenomegaly, measuring 14 cm in length.PANCREAS: Lobular cystic focus in the pancreatic head measuring approximately 1.3 cm is unchanged, likely communicates with a normal caliber pancreatic duct. No suspicious postcontrast imaging features.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: No significant abnormality noted.
1.Cirrhotic liver with evidence of portal hypertension.2.Punctate nodular enhancement along the anterior aspect of the segment 8 ablation cavity not significantly changed and which may be a posttreatment change. Attention to this on follow-up imaging is recommended. No new suspicious liver lesions.3.Stable cystic lesion in pancreatic head suggestive of a side branch IPMN without suspicious imaging features.