Cirrhosis. Recent CT demonstrating a 12 mm enhancing nodule without washout. ABDOMEN:LIVER, BILIARY TRACT: Nodular contour and diffuse reticular T2 hyperintensity compatible with cirrhosis. Multiple subcentimeter T2 isointense arterially-enhancing lesions without washout are seen, compatible with regenerative nodules, including the 10 mm segment 8 lesion seen on the prior CT (series 10, image 20). A 9 mm arterially enhancing lesion in the anterior aspect of segment 3 (series 10, image 31) demonstrates washout on delayed phase and lack of uptake on hepatobiliary phase (series 10, image 225), compatible with hepatocellular carcinoma.No biliary ductal dilation. Trace perihepatic ascites. SPLEEN: Mild splenomegaly.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: No significant abnormality noted.
1.Cirrhotic liver morphology with a 9 mm enhancing lesion in segment 3 demonstrating washout, compatible with hepatocellular carcinoma.2.Multiple subcentimeter arterial enhancing lesions most compatible with regenerative nodules.