Reason: Lesion suspicious for HCC on CT scan History: HCV ETOH cirrrhosis, 2.8 cm R lobe mass ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic morphology. Two subcentimeter adjacent nodules in the right lobe that are nonenhancing, but low on T2 and high on T1 (12:269, 8:15, 11:81) suspicious for dysplastic nodules.2.7 x 2.8 cm T1 hyperintense lesion in the posterior right hepatic lobe (11:85) is isointense on T2. This lesion has arterial enhancement with subsequent washout, and is compatible with hepatocellular carcinoma.SPLEEN: Splenomegaly.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: Fat-containing umbilical hernia.OTHER: No significant abnormality noted.
1.2.8 cm hepatocellular carcinoma in the posterior right hepatic lobe.2.Two subcentimeter probable dysplastic nodules on a background of nodular cirrhosis and likely portal hypertension, as above.