Hepatitis C, liver lesions follow-up ABDOMEN:LIVER, BILIARY TRACT: There is a dominant focal hepatic lesion at the junction of segments 5 and 6 with reference measurements as below. The lesion demonstrates increased T2 signal, restricted diffusion, decreased T1 signal, and predominantly peripheral enhancement. There is an additional similar smaller lesion at the hepatic dome at the junctions of segments 7 and 8 with reference measurements below. This lesion mildly attenuates the right hepatic vein which remains patent. No additional focal hepatic lesions are identified.The gallbladder appears within normal limits. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple right renal cyst. RETROPERITONEUM, LYMPH NODES: Few mildly prominent nonspecific periportal lymph nodes. Small cardiophrenic lymph nodes are also seen.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 12/21/2016 14:57:21)HEPATIC SEGMENT 5/6 LESION: 4.3 x 3.7 cm (Image 154, Series 603); 3.5 x 4.1 cm on prior (11/29/2016) (Image 270, Series 10).HEPATIC SEGMENT 7/8 LESION: 1.9 x 1.3 cm (Image 250, Series 603); 2.1 x 1.9 cm on prior (11/29/2016) (Image 288, Series 10).
Two focal hepatic lesions which are highly suspicious for neoplasm without significant change from prior study. The lesions do not meet diagnostic criteria for HCC. Top differential considerations include cholangiocarcinoma, mixed hepatocellular cholangiocarcinoma, metastatic adenocarcinoma, or undifferentiated carcinoma.