Assess liver lesions. Enlarging liver lesion. Cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with micronodular contour and widened fissures. No perihepatic ascites noted. Several prominent periportal lymph nodes are noted, likely reactive.Multiple lesions are identified in the liver. Two lesions demonstrate increased T2 signal and diffusion restriction. The larger of these lesions, in hepatic segment 5, measures 2.0 x 1.9 cm (series 10, image 44), previously 1.7 x 1.1 cm, and demonstrates arterial enhancement without washout. Second lesion, in hepatic segment 3, measures 1.8 x 1.8 cm (series 4, image 12), unchanged, with delayed enhancement and without washout. Additional smaller arterially enhancing lesions are also seen, without washout.Normal appearance of the gallbladder, without biliary ductal dilation.SPLEEN: Splenomegaly with siderosis.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: No significant abnormality noted.BONES, SOFT TISSUES: Increased T2 signal in the vertebral bodies near the endplates is incompletely evaluated though likely represents degenerative changes.
Multiple enhancing liver lesions, which do not meet criteria for hepatocellular carcinoma, indeterminate and suspicious for dysplastic nodules. The largest of these in hepatic segment 5 is increased in size when compared to prior imaging.