Male; 59 years old. Reason: Eval liver lesions, masses, HCC S/P TACE/RFA on 3/5-6/15 History: HCC, cirrhosis, HBV LIVER, BILIARY TRACT: New right hepatic lobe anterior/superior ablation measures 3.4 x 1.9 cm (series 10/36).Right hepatic lobe posterior/superior ablation cavity measures 2.7 x 1.9 cm (series 10/34), previously 2.7 x 1.9 cm.Right hepatic lobe inferior ablation cavity measures 2.1 x 1.9 cm (series 10/42), previously 2.1 x 1.9 cm.Between the two superior ablation cavities, there is mild nodular arterial enhancement measuring up to 0.6 x 0.8 cm posteriorly (series 10/33), with smaller focus seen slightly anteriorly (series 10/32), suspicious for mild residual disease though not entirely specific with no restricted diffusion or washout seen.No biliary ductal dilatation. Main portal vein is patent. SPLEEN: Stable splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal or mesenteric adenopathy.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Gastroesophageal varices.
New right hepatic lobe ablation cavity with mild adjacent nodular arterial enhancement, suspicious for mild residual disease though not entirely specific with no restricted diffusion or washout seen.