Female 58 years old Reason: 58 yo with h/o HCC please screen for recurrence ABDOMEN:LIVER, BILIARY TRACT: Nodular hepatic contour with widening of the fissures consistent with hepatic cirrhosis.The reference lesion in the right hepatic lobe measures 1.6 x 1.1 cm (series 11, image 28), remeasured on prior 1.6 x 1.1 cm. There is an incomplete halo of arterial enhancement on the caudal aspect of this lesion with subtle T2 hyperintense signal but without washout. The second subcapsular ablation defect measures 0.8 x 0.8 cm (series 11, image 27) previously remeasured at 0.8 x 0.9 cm stable/mildly decreased in size.Patent hepatic vasculature.SPLEEN: Massive splenomegaly of 18.7 cm. Stable T2 hyperintense lesion within the posterior spleen which may represent a small hemangioma.PANCREAS: There is a 1.0 x 0.7 cm T2 hyperintense lesion within the pancreatic body, compatible with IPMN and not significantly changed compared to prior.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Posttreatment changes relating to prior TACE RFA. Suspicious area of arterial enhancement and T2 hyperintense signal surrounding the reference lesion. While this does not meet criteria for HCC it remains suspicious for recurrence and short interval surveillance recommended.2.Hepatic cirrhosis with portal hypertension.3.Stable pancreatic body IPMN.