55-year-old female with history of liver lesion seen on prior CT examination in July. Evaluate hepatic lesion. ABDOMEN:LIVER, BILIARY TRACT: Redemonstration of nodular contour of the liver with widened fissure consistent with history of cirrhosis. Previously noted segment 5 arterially enhancing lesion is again noted. This lesion is T2 hyperintense and T1 hypointense; it has increased in size compared to the previous examination currently measuring 21 x 15 mm (series 1501, image 39) previously measuring 6 x 8 mm. This lesion does not demonstrate washout. There is also a focus of fat within this lesion. These imaging criteria are not specific for HCC, but are suspicious, and differential includes early HCC, cholangiohepatoma, or even an atypical dysplastic nodule.Small amount of nonspecific pericholecystic fluid is present.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Redemonstration of occlusion the proximal celiac trunk with collateralization.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval increase in size of the arterially enhancing segment 5 hepatic lesion as above which does not meet AASLD criteria for HCC. However, given history of cirrhosis and interval increase in size, this lesion remains highly suspicious, with a suggested differential above.2.Redemonstration of chronic celiac trunk occlusion.