46-year-old male with history of left hepatic lobe lesion seen on recent CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with reticular T2 hyperintense pattern compatible with fibrosis. Enlarged portal vasculature compatible with portal hypertension. Quadrate lobe lesion measuring 14.0 x 13.0 cm does not demonstrate arterial enhancement. On delayed imaging there is equivocal signal loss.Focus of hyperenhancement in segment 6 is favored to be perfusional in etiology.SPLEEN: Marked splenomegaly measuring up to 27 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Extensive upper abdominal periaortic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Gastric varices.
1.Cirrhotic liver morphology with findings of portal hypertension and variceal formation.2.Nonenhancing quadrate lobe lesion with equivocal signal loss on delayed imaging is indeterminant. Continued close followup is recommended.