51-year-old male with HCV cirrhosis and HCC status post TACE/RFA ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. There is a segment five and segment eight ablation cavity. There is intrinsic T1 and susceptibility artifact within the segment five lesion compatible with postablation changes, appearing similar to the prior exam. Intrinsic T1 hyperintensity is also noted within the segment seven ablation cavity. Re-demonstrated is nodular enhancement along the anterior superior margin of the segment seven of the ablation cavity that is not significantly changed when compared to the prior exam and possibly represents focal perfusion defect.No new suspicious arterial enhancing lesion is identified. There is an intrinsic T1 hyperintense focus in hepatic segment six, immediately posterior to the right hepatic vein (series 13, image 64) without arterial enhancement although there is questionable washout on postcontrast images (series 14, image 254). Additional intrinsic T1 hyperintense focus in hepatic segment four (series 13, image 73) without arterial enhancement may represent a siderotic nodule.Hepatic steatosis is present. Status post cholecystectomy.SPLEEN: Top normal splenic size. Splenule.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter renal cysts are unchanged.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.
1.No evidence of recurrent or residual disease within the segment five ablation cavity.2.Redemonstration of faint nodular enhancement along the segment 7 ablation cavity without definite washout on delayed sequence. Findings favor a focal perfusion defect. Attention on subsequent imaging is suggested.3.Indeterminant intrinsic T1 hyperintense focus in hepatic segment 6 without arterial enhancement although questionable washout on postcontrast sequence. Findings do not meet criteria for HCC although attention on subsequent surveillance imaging is suggested. 