85-year-old female with HCV, cirrhosis, assess for HCC. ABDOMEN:LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. Cirrhotic liver morphology.Cholelithiasis again noted. No intrahepatic or extrahepatic biliary ductal dilatation. Portal vein: patent Hepatic veins: patentHepatic artery: patentLesions: Reference arterial enhancing lesion with no definite washout measures 0.9 x 1.0 cm or restricted diffusion, previously 0.8 x 1 cm lesion (image 68, series 100) in the hepatic dome adjacent to the middle hepatic vein.There is a second arterially enhancing lesion measuring 0.9 x 0.9 cm, appearing similar to the prior study (68; series 100), no definite washout or restricted diffusion.  SPLEEN: Mild splenomegaly and varices again noted. PANCREAS: Redemonstration of cystic lesions in the pancreatic body that likely represent sidebranch IPMNs (intraductal papillary mucinous neoplasms). The reference lesion in the body of the pancreas measures 0.9 x 0.8 cm, previously measuring 1.0 x 0.8 cm (19; series 9). The second reference lesion in the body of the pancreas measures 0.6 x 0.6 cm, previously 0.5 x 0.5 cm. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral cysts, unchanged. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Persistent subcentimeter arterially enhancing lesions in the dome of the liver without definite evidence of washout or restricted diffusion. Attention on follow-up examination recommended. Cirrhotic liver morphology.2.No significant interval change in the reference cystic lesions in the pancreatic body, which most likely represent sidebranch IPMNs. 