78-year-old male with HCC status post transarterial radioembolization. Please evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Multiple foci of the T2 hyperintense, T1 hypointense, nonenhancing lesions are seen throughout the right hepatic lobe, several of which are new in the interval particularly at the hepatic dome. Small foci of T1 hyperintensity along the periphery of hepatic segment 5 (series 1002 image 253) is unchanged and favored to represent small hemorrhage. No arterially enhancing lesions are identified. The portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. No focal parenchymal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts.RETROPERITONEUM, LYMPH NODES: Interval enlargement of portacaval lymph nodes measuring 5.6 x 3.7 cm (series 904 image 312) (prior 2.4 x 1.9 cm) and new enlarged retroperitoneal lymph nodes (series 904 images 48, 192, 240) are also noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval development of new T2 hyperintense lesions of the right hepatic lobe anteriorly at the dome without evidence of arterial enhancement, however enlargement of portacaval and new retroperitoneal lymph nodes are concerning for disease progression.