Reason: MRI liver to r/o HCC History: post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Ablation cavity in the right lobe of the liver measures 3.1 x 1.6 cm (series 10 image 47), unchanged.New ablation cavity from interval ablation of previous HCC inferiorly measures 3.8 x 2.5 cm. No nodular arterial enhancement or washout to suggest residual disease. Intrinsic T1 signal compatible with blood products.No new lesions.Cirrhotic morphology. Patent hepatic vasculature. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Cystic lesion in the pancreatic head is unchanged, measuring 1.3 x 0.9 cm (series 9 image 22), likely a side branch IPMN. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Prominent periportal and gastric hepatic lymph nodes, unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.New RFA ablation cavity with no specific evidence of residual disease.2.Stable additional RFA patient cavity with no specific evidence of recurrence.3.Stable probable IPMN. 