Male 61 years old with HCV cirrhosis. Assess for HCC/suspicious lesions. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. There is no ascites. The hepatic vasculature is patent. Cholelithiasis within a normally distended gallbladder. No intra or extrahepatic biliary ductal dilatation.Again seen within segment 6 is a 6 mm mildly T2 hyperintense lesion with early arterial phase enhancement that persists on portal venous and delayed imaging (series 3, image 14). This is not significantly changed since the prior exam.Additional small arterial phase enhancing foci with no washout most likely represent perfusional anomalies and are not significantly changed.SPLEEN: Mild splenomegaly measuring 13 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged left lower pole simple renal cyst.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.
Cirrhotic liver morphology. The segment 6 lesion is stable in size with unchanged enhancement characteristics it may represent a hemangioma. No new suspicious lesion.