History of cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. In the right hepatic dome there is a 1.6 cm rounded lesion (series 11/33) demonstrating arterial enhancement and washout (series 12/image 31).The previously described ill-defined oblong region of arterial enhancement in the hepatic dome demonstrates no washout and measures approximately 3.2 x 1.5 cm (series 11/37), unchanged.Additional multiple peripheral wedge-shaped early enhancing lesions likely represent transient perfusion differences.Simple cyst in the left lobe of the liver.Cholelithiasis. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral small renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Atherosclerotic vascular disease. Left lower thoracic wall subcutaneous soft tissue enhancing nodule may represent a small sebaceous cyst, unchanged.OTHER: No significant abnormality noted.
1.6 cm right hepatic dome lesion with arterial enhancement and washout, meeting imaging criteria for HCC. Otherwise stable examination.Cholelithiasis without cholecystitis.