58-year-old man with history of HCV and liver lesion on CT. ABDOMEN:LIVER, BILIARY TRACT: Liver is cirrhotic in morphology. In segment 6 of the liver (3/21) there is a 17 mm T1 hypointense, T2 hyperintense lesion without signal loss on opposed phase imaging. Otherwise, no focal hepatic lesion is identified.The gallbladder appears normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic kidneys with innumerable bilateral cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Enteric duplication cyst is noted arising from the jejunum in the mid abdomen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Segment 6 liver lesion which remains indeterminate on this nonenhanced study but could be benign or malignant in etiology (including a focal nodular hyperplasia, sclerosed hemangioma, or hepatocellular carcinoma). Further evaluation with an enhanced MR or direct tissue sampling can be considered, recommendations forwarded to ordering provider (Melanie Samardzija) through the EMR at time of dictation.