73-year-old male with HBV and HCC status post treatment. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Redemonstrated are two right-sided liver lesions, segment six and segment five. There is intrinsic T1 signal within bilateral ablation cavities compatible with post ablation hemorrhage/treatment change. Segment five lesion cavity measures 4.0 x 3.8 cm (series 10010, image 346). Segment six of ablation cavity measures 6.0 x 4.7 cm (series 10010, image 346). Limited subtraction sequences due to misregistration secondary to patient breathing motion. No abnormal enhancement is present within the ablation cavities.Focus of arterial enhancement in segment 4A without definite washout is noted (series 10, image 28).Cholelithiasis and gallbladder sludge.SPLEEN: Splenic size is borderline.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: T2 hyperintense cysts and subcentimeter T2 hyperintense cysts within the left kidney. No hydronephrosis or perinephric inflammation.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 examination due to motion from breathing.2.Within these limitations, no abnormal enhancement is present within the segment five and segment six ablation cavities. 3.Small focus of arterial enhancement without definite washout in hepatic segment 4A is nonspecific. Attention on subsequent imaging is recommended.