Hepatitis B, AFP 4000, evaluate for HCC ABDOMEN:LIVER, BILIARY TRACT: Liver contour: The liver contour is smooth. Features of portal hypertension: None. Portal vein: Patent. Hepatic veins: Patent.Hepatic artery: Conventional.Lesions: 2.1 x 1.2 cm arterially enhancing lesion in segment IVb demonstrates washout on delayed postcontrast imaging (series 1101, image 247). Contiguous or adjacent punctate focus of parenchymal washout without definite arterial enhancement (series 1101, image 263).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.Segment 4B arterially enhancing lesion meets the criteria for HCC.2.Immediately adjacent punctate focus of parenchymal washout without definite arterial enhancement raises the possibility of a satellite HCC, or is just a poorly imaged tiny portion of the primary mass itself. 