50-year-old male. Cirrhosis. HCC status post resection. Evaluate for recurrence. ABDOMEN:LIVER, BILIARY TRACT: Widening of the fissures consistent with cirrhotic morphology. Segment 8 resection scar, unchanged. No evidence of local recurrence.Subcentimeter subtle arterially enhancing focus in the left lateral segment which becomes isointense on portal venous images and does not washout (series 9, image 29), does not meet criteria for a HCC, unchanged and possibly a perifusion abnormality. No focal mass suspicious for HCC is identified.Patent hepatic vasculature. No biliary ductal dilatation. No evidence of portal vein hypertension.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Broad mouthed ventral hernia containing nonobstructed small bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No evidence of local recurrence or new hepatocellular carcinoma. Nonspecific subcentimeter enhancing focus in the left lateral segment of the liver, unchanged from 2013, may be a perfusion abnormality.