81-year-old female with HCC. No contrast due to low GFR, THERASPERE protocol. ABDOMEN:LIVER, BILIARY TRACT: The ablation cavity has increased in the interval and now extends towards the hepatic dome. Diffuse increased T2 signal intensity of the left hepatic lobe due to Therasphere effect. Normal flow void of the left portal vein indicating patency. Similar trace anterior perihepatic ascites.There is patchy increased T2 signal intensity in the posterior right hepatic lobe. A 1.1 x 1.3 cm T2 hypointense focus of the posterior right hepatic lobe is slightly more prominent compared to the prior exam and partially expands the hepatic capsule (axial series 8 image 24). However, the lack of intravenous contrast limits complete evaluation.Cholecystectomy catheter remains in place, and intraluminal gallstones are again noted.SPLEEN: Splenomegaly measuring 14.8 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cysts.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.Limited exam due to the lack of intravenous contrast. Increased size of the known ablation cavity.2.Normal flow void of the left portal vein indicating patency.3.A 1.1 x 1.3 cm T2 hypointense focus of the posterior right hepatic lobe is incompletely characterized due to the lack of intravenous contrast.