Reason: eval liver lesions, masses, HCC screen, S/P TACE/RFA History: cirrhosis, HCC, TACE/RFA ABDOMEN:LUNG BASE: Small right pleural effusion,LIVER, BILIARY TRACT: Cirrhotic morphology with sequelae of portal hypertension including splenomegaly and splenic varices. There are multiple arterially enhancing subcentimeter foci, which are new or more prominent from prior study. One lesion is adjacent to the segment 8 lesion cavity (series 14 image 21). One lesion is in the left lobe of the liver (series 14 image 21). There are 2 lesions in segment 5 (series 14 image 32 and 40). There is also faint arterial enhancing focus in the hepatic dome (series 14 image 9). These lesions show restricted diffusion. The portal and hepatic veins are patent. Scattered subcentimeter nonenhancing T2 hyperintense foci compatible with cysts.SPLEEN: Spleen measures 15.1 cm and is mildly enlarged.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: Small rounded foci of T2 hyperintense signal of the T7, T8, and T9 vertebral bodies (coronal series 11 images 5, 6). These are statistically benign hemangioma, but given the multiple hepatic lesions, bone scan is recommended.OTHER: No significant abnormality noted.
1.Multiple arterially enhancing subcentimeter foci as above, new or more prominent on current study.2.Small rounded foci in thoracic spine, which statistically favor benign hemangioma, but given multiple hepatic lesions, bone scan is recommended.