Liver lesion on CT concerning for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: The liver is smooth in contour and normal in morphology. Within segment 8 there is a T2 hyperintense lesion which contains few thin septations, measuring 1.4 x 1.1 cm (series 501, image 33) and contains a vessel coursing through it. This lesion does not enhance with contrast administration, nor restrict diffusion. There is no fat identified within the lesion on out of phase imaging. No other lesion is identified. There is no intra or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance. SPLEEN: No significant abnormality noted.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: No significant abnormality noted.OTHER: The uterus is partially imaged. The myometrium is thickened and contains numerous cystic spaces, compatible with adenomyosis. The endometrium is markedly dilated and contains heterogeneous enhancing components which are partially imaged , corresponding to suspected malignancy on recent CT January 9, 2016. Trace right pleural effusion.
1.Lesion within the hepatic dome identified on recent CT, probably a septated cyst.2.Partially imaged dilated endometrium containing heterogeneous enhancing components, suspicious for malignancy. Likely adenomyosis.