34-year-old female patient with cirrhosis and liver failure. Note that the examination is suboptimal secondary to previous injection of gadolinium contrast.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. There is a segment 4B exophytic lesion measuring 5.3 x 5.1 cm (series 1101 image 151) that does not demonstrate enhancement, but does demonstrate slight washout on portal venous and delayed imaging. This lesion does not have T2 hyperintensity or diffusion restriction. There is no intra or extrahepatic biliary duct dilatation. The portal vein is mildly diminutive. The hepatic vasculature is patent. There is perihepatic ascites and paraumbilical collaterals.Gallbladder wall thickening likely secondary to hypoalbuminemia and there is vicarious excretion of prior contrast into the gallbladder lumen.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: The inferior vena cava is mildly enlarged.BOWEL, MESENTERY: There is bowel wall thickening that is most likely secondary to hypertensive colopathy.BONES, SOFT TISSUES: Diffuse anasarca. Right breast implant with intracapsular rupture noted.OTHER: Intra-abdominal ascites.
1.Suboptimal examination due to the previous administration of intravenous contrast.2.Cirrhotic liver morphology and findings consistent with portal hypertension.3.Segment 4B exophytic lesion with features that not meet strict criteria for hepatocellular carcinoma. Follow up of this lesion is recommended.4.Right breast implant with intracapsular rupture.