64-year-old man with history of alcoholic cirrhosis, evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: There is low signal of the liver parenchyma suggesting iron deposition. The liver is cirrhotic in morphology. Subcentimeter cysts are seen in segments IVb, 5, and 8 of the liver. No suspicious focal enhancing lesion identified. The gallbladder is normal.SPLEEN: The spleen is mildly enlarged.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Left superior pole renal cyst is noted. In the inferior pole of the left kidney (series 8, image 14) there is a round, exophytic T2 hypointense lesion measuring 16 x 15 mm which is incompletely evaluated and not included on the axial sequence field of view.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: There is a moderate hiatal hernia with ascites.BONES, SOFT TISSUES: No significant abnormality noted. Sternotomy sutures noted.OTHER: There is a small amount of ascites.
1.Cirrhotic liver without suspicious focal lesion.2.Incompletely imaged lesion in the inferior pole the left kidney which can be evaluated with ultrasound as clinically warranted.