72-year-old woman with history of HBV cirrhosis and HCC status post multiple RFA's. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with hypertrophied left lobe and widened fissures.Posttreatment changes are seen in segment 5 (4/20) without evidence of residual arterial enhancement. A small amount of precontrast T1 hyperintensity in the ablation zone (10/55) is stable and may represent blood products. Segment 7 cyst noted.The portal vein appears patent.The gallbladder appears normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: 9 millimeter T2 hyperintense round lesion in the uncinate process of the pancreas (4/37) appears unchanged. There is no pancreatic ductal dilatation.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: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Posttreatment changes in the segment 5 ablation zone without evidence of recurrent tumor.2.Stable uncinate process lesion, likely a side branch IPMN.3.Contrast extravasation as described above.