57-year-old male with alcoholic cirrhosis. Evaluate for HCC. Reviewed head CT and confirmed with neuroradiology that MRI is safe given prior AVM surgery. There are no metallic objects or clips on recent head CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Subcentimeter T2 hyperintense focus in hepatic segment 7 (axial series 6 image 9) shows no significant enhancement on arterial phase and progressive enhancement in the portal venous and delayed phases (axial series 10 images 288, 391). No suspicious lesions with washout are identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Subcentimeter T2 hyperintense focus in hepatic segment 7 most likely represents a small hemangioma. Small size of lesion may make visualization of typically seen interrupted peripheral nodular enhancement difficult; lesion seen filling in with contrast on venous and delayed phases.2.No suspicious hepatic lesion with washout visualized.