Assess for changes in hepatic adenomas. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and size, measuring 19.2 cm in craniocaudal dimension. There is diffuse fatty infiltration of the liver.No intra or extrahepatic biliary ductal dilatation.Status post cholecystectomy.The right hepatic lobe lesions demonstrate homogeneous T2-weighted hyperintensity with the largest measuring 1.2 x 0.9 cm in segment 8 (series 3/32), compared to 1.2 x 1.1 cm previously and 1.2 x 0.8 in segment 7 (series 3/32) compared to 2.2 x 2.0 cm previously. Additional more posterior segment 7 subcentimeter lesion is present, not significantly changed. The lesion at the hepatic dome measures approximately 5 mm (series 3/13), compared to 1.1 x 0.9 cm previously. The lesions demonstrate homogeneous arterial enhancement with no retention of contrast on the hepatobiliary phase compatible with small adenomas.The partially exophytic segment 2 lesion measures 4.5 x 4.0 cm (series 9/28), compared to 5.4 x 4.6 cm previously, and demonstrates heterogeneous T2 mild hyperintensity, is isointense to the liver on T1-weighted imaging, contains no intralesional fat and demonstrates homogeneous arterial enhancement which persists in the portal venous phase and delayed/equilibrium phase. In the hepatobiliary phase the lesion demonstrates heterogeneous retention of contrast, compatible with focal nodular hyperplasia. The previously described segment 7 lesion characterized as FNH is not well seen on today's study.SPLEEN: The spleen is normal in size, signal intensity and enhancement without a focal lesion. A small splenule is noted adjacent to the inferior tip of the spleen.PANCREAS: The pancreas is normal in morphology and signal intensity. The main pancreatic duct is normal in caliber. Normal variant ductal anatomy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Nonspecific increased number of lymph nodes in the right small bowel mesentery, likely reactive.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Interval decrease in the size of the hepatic lesions compatible with adenomas and focal nodular hyperplasia. Resolution of the segment 7 focal nodular hyperplasia.2. Fatty infiltration of the liver.