Male 56 years old Reason: Outside scan shows 4 cm lesion in left lobe near falciform ligament, 1 cm lesion near gallbladder History: HCV and ETOH cirrhosis ABDOMEN:LIVER, BILIARY TRACT: The liver has an advanced cirrhotic morphology with widened fissures and hypertrophy of the caudate. 1.1 cm hypervascular lesion in segment 5 of the liver on image 153/series 3 is stable. The lesion does not show washout on delayed imaging. However, the lesion shows abnormal signal characteristics on diffusion-weighted imaging.Within the left lateral segment of the liver there is a hypervascular lesion measuring 3.0 cm on image 154/series 13. This lesion also does not show washout. There is a prominent vessel within this lesion. Hepatic and portal veins are patent. Gallbladder contains multiple stones.SPLEEN: Spleen is enlargedPANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cyst.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.
1.1.1 cm segment 5 lesion which shows enhancement but no washout. It does not meet the criteria for HCC but remains suspicious.2.Left hepatic lobe lesion is hypervascular without washout. There is prominent vessel within the lesion and the lesion may be due to the shunt. This can be followed on subsequent imaging to evaluate for change.3.Cholelithiasis