Male; 53 years old. Reason: Eval liver lesions masses, HCC screen compare seg VII hepatic lesion without washout, eval patent vessels, coronary calicifications History: cirrhosis, ascites, PVT ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Mild perihepatic ascites, slightly decreased since prior exam. Arterially enhancing lesion in segment VII posterior to the IVC measures 13 x 10 mm, unchanged (series 1001/349). No washout on delayed contrast phase. No additional enhancing lesions. Stable attenuation of the extrahepatic main portal vein measuring up to 3 mm. Extensive venous collaterals are noted throughout the upper abdomen.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable nonenhancing cystic lesion in the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scoliosis with stable compression fractures of lower thoracic vertebral bodies.OTHER: No significant abnormality noted.
Stable arterially enhancing segment VII hepatic lesion without washout. The lesion does not meet the criteria for hepatocellular carcinoma. However, continued surveillance is recommended.