31 years, Male, Reason: Evaluate for HCC History: Cirrhosis with a concerning findings on MRI/Unable to biopsy. ABDOMEN: Left gastric embolization coils produces artifact in this region which obscures visualization.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mildly nodular contour. Segment 4 lesion is unchanged in size measuring 2.3 x 1.8 cm (9/225). This lesion has some signal dropout on out of phase images, indicating some steatosis. No significant enhancement identified, however there is mild hypointensity on portal venous and delayed phase images which is similar to the prior exam. There is also a minimal amount of adjacent ill-defined hypointensity on post contrast images which is unchangedSubcentimeter right hepatic lobe simple cyst. Transjugular intrahepatic portosystemic shunt is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal gland is not visualized. Right adrenal gland is normal.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Segment 4 lesion is stable in size and has nonspecific MRI features. Continued follow up is recommended.