Male 64 years old Reason: Evaluate for HCC History: Cirrhosis with an elevated AFP The arterial phase images are suboptimal, limiting evaluation for hepatocellular carcinoma.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. The gallbladder is distended, but not significantly changed compared to prior study. Heterogeneous hepatic parenchyma with prominence of the fissures consistent with cirrhosis. Diffuse signal drop out on in phase images is suggestive of iron deposition. Additional punctate foci of signal drop out are suggestive of siderotic nodules. Arterial phase images are limited due to suboptimal timing. Within this limitation no suspicious lesion is identified.Patent hepatic vasculature.SPLEEN: Mild splenomegaly at 13.6 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Asymmetric renal enhancement in the earlier phases of imaging with normalization on the 3-minute delayed phase of imaging. This is likely perfusional.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace ascites. Multiple upper abdomen collateral vessels.
1.Cirrhotic liver morphology without suspicious focal hepatic lesion. Sequela of portal hypertension with splenomegaly and multiple upper abdominal collateral vessels.2.Cholelithiasis with gallbladder distention, unchanged compared to prior study.