History of a liver lesion status post TACE RFA. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Post radiofrequency ablation halos in the right hepatic dome involving segments 7/8. The more anterior older ablation defect measures 1.7 x 1.4 cm (series 10/120), compared to 2.0 x 1.5 cm previously.The more posterior lateral ablation defect measures 3.4 x 2.3 cm (series 10/122).There is persistent arterial enhancement adjacent to the anterior aspect of the new larger ablation cavity (series 10 image 17) measuring 1.4 x 1.2 cm.There are additional arterial enhancing foci throughout the liver which are not significant changed in size and demonstrate no definite washout.SPLEEN: Stable splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Subcentimeter right adrenal nodule is stable.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
New ablation defect in the dome of the liver. There is a persistent 1.4 cm enhancing focus with subtle washout adjacent to the anterior aspect of the new ablation defect, suspicious for residual hepatocellular carcinoma.