Female; 58 years old. Reason: CT shows ill defined lesion, capsular retraction History: cirrhosis ABDOMEN:LUNG BASES: Previously seen left basilar opacity has decreased and was likely due to subsegmental atelectasis.LIVER, BILIARY TRACT: Large, geographic area in the posterior right hepatic lobe with low T1 signal, slightly increased T2 signal, and slight increased enhancement without washout, unchanged in extent since prior CT. There is associated capsular retraction. The findings are compatible with confluent hepatic fibrosis.Mild perihepatic ascites.SPLEEN: No significant abnormality noted.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: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings most compatible with confluent hepatic fibrosis in the right hepatic lobe. No focal liver lesions which meet the criteria for hepatocellular carcinoma.