Female 80 years old Reason: 79 yo F with HCC, please evaluate for interval change compared to outside MRI dated 12/2/14. History: none Study is significantly limited due to motion artifact and lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. The liver parenchyma is diffusely heterogeneous and there is a nodular contour, caudate lobe hypertrophy and prominence of the hepatic fissures, consistent with cirrhosis. There is signal dropout on in phase images suggestive of iron deposition. T2 iso-/hypo-intense hepatic lesion measures 4.6 x 3.8 cm (series 8, image 10). The lesion is remeasured on prior study at 5.7 x 4.6 cm. Central T2 hyperintense signal /diffusion signal within the lesion is nonspecific and not significantly changed compared to prior study. Evaluation of this lesion is significantly limited in the absence of contrast.Evaluation for hepatocellular carcinoma is significantly limited in the absence of intravenous contrast however there are no additional areas of T2 signal hyperintensity or diffusion restriction to suggest new lesions.SPLEEN: Splenomegaly measuring 14.6 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts are stable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace abdominal ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Stable position of a cholecystotomy tube. Left upper quadrant collateral vessels are noted.
1.Limited study due to motion and the absence of intravenous contrast. Comparison with outside images demonstrates decrease in size of treated hepatic lesion. No new lesions are identified given the limitations.2.Cirrhotic liver morphology with splenomegaly and splenic varices.