HCC Study is limited due to lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with caudate lobe hypertrophy and prominent fissures. The predominantly T2 hypointense lesion in segment 4 measures 4.2 x 3.6 cm, previously 4.6 x 3.8 cm. The lesion contains inherent T1 hyperintensity likely representing blood products. Evaluation for hepatocellular carcinoma is significantly limited by the absence of intravenous contrast, however there are no additional areas of T2 signal hyperintensity or diffusion restriction to suggest new lesions.Cholelithiasis. Stable position of the cholecystostomy tube.SPLEEN: Splenomegaly measuring 15 cm. Splenic varices noted. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts are again seen.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Ascending colonic wall thickening, likely representing portal colopathy. Otherwise no significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace ascites.
Limited study due to lack of intravenous contrast. Slightly decreased size of the treated hepatic lesion. No new lesions evident.