71-year-old female with history of cirrhosis who presents for evaluation of a concerning lesion on CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic hepatic morphology. Again noted is left hepatic lobe lesion measuring 2.4 x 2.3 cm (series 11, image 73). The right-sided component demonstrates T1 brightness without enhancement compatible with hemorrhagic component. The left-sided solid component does not demonstrate arterial enhancement given that the arterial phase is too early on the current exam; however, given enhancement and washout on the CT of this nodular component, this lesion remains suspicious for hepatocellular carcinoma. In addition, there is evidence of an enhancing capsule surrounding the lesion. The additional subcentimeter hypoattenuating lesion in the lateral left hepatic lobe noted on the CT examination is not identified on this examination and may have been a perfusional abnormality.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: Again noted is collapse of L1 vertebral body and loss of height of L5 vertebral body.OTHER: No significant abnormality noted.
1.Cirrhosis with a left hepatic lobe lesion which remains highly suspicious for hepatocellular carcinoma as detailed.2.L1 vertebral body collapse and L5 vertebral body height loss persists.