History of hepatocellular carcinoma. Please evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with caudate lobe hypertrophy and prominent fissures.The segment 4 ablation cavity measures 3.0 x 3.5 cm and is predominantly T2 weighted hypointense with T1 weighted hyperintense proteinaceous/blood product.Evaluation for hepatocellular carcinoma is significantly limited by the absence of intravenous contrast, however there are no new T2-weighted hyperintense or restricting focal lesions.Cholelithiasis and cholecystostomy tube.SPLEEN: Splenomegaly, measuring 15 cm in craniocaudal dimension, unchanged. Splenic varices.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral T2 weighted hyperintense foci compatible with cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild portal hypertensive colopathy. Trace right paracolic gutter fluid.BONES, SOFT TISSUES: Multiple well-defined T2 hyperintense osseous foci compatible with hemangiomas, unchanged.OTHER: No significant abnormality noted.
Limited study due to lack of intravenous contrast without significant change in treated hepatic lesion and no new lesion evident.