78-year-old male with history of HCV cirrhosis. Evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Nodular hepatic morphology without evidence of a suspicious lesion. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Persistent mild diffuse pancreatic ductal dilatation without evidence of focal parenchymal lesion on this nondedicated exam.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Again noted is the complex cystic lesion in the mid to lower left renal pole measuring 20 x 16 mm (series 3, image 23), not significantly changed. There is equivocal small focus of apparent internal enhancement which is not significantly changed (series 103, image 63).Additional bilateral renal cysts are 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.
1.Unchanged complex lesion in the left renal midpole with equivocal enhancement.2.No suspicious hepatic lesion.