63-year-old male patient with cirrhosis, segment 6/7 arterially enhancing focus. Evaluate liver lesions, masses, HCC screening, hepatic vessel patency. ABDOMEN: LIVER, BILIARY TRACT: Hepatic cirrhosis with sequela of portal hypertension. There are scattered T2 hyperintense foci in the liver compatible with cysts. A nonspecific segment 6/7 1 cm arterially enhancing focus is again identified, but does not demonstrate washout on more delayed images. There is a new 1 cm focus of arterial enhancement within the caudate lobe, which also does not demonstrate washout on more delayed imaging.SPLEEN: The spleen is enlarged measuring 19 cm in length.PANCREAS: A a 0.8 cm cystic lesion within the body of the pancreas which does not demonstrate enhancement likely represents a sidebranch IPMN in addition to two more cystic foci, unchanged.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: Trace left pleural effusion. Interval decrease in ascites.
1.Cirrhosis with sequela of portal hypertension. No definite arterially enhancing lesion with washout to suggest HCC.2.Non-specific segment 6/7 and segment 1 arterially enhancing lesions; these could be perfusional in etiology, however, should continue to be followed on subsequent imaging. 