History of HCC status post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with nodular contour, left hepatic lobe hypertrophy and fissural widening.Segment 5 ablation cavity measures 3.5 x 1.6 cm (series 10/66), compared to 3.9 x 1.9 cm previously. Demonstrated again is a residual focus of arterial enhancement adjacent to the anterolateral cranial aspect of the ablation cavity measuring 1.7 x 1.5 cm (series 9/68), unchanged.The segment 6 ablation defect measures approximately 3.1 x 1.5 cm (series 10/69), compared to 2.8 x 1.0 cm previously. Interval ablation of the previously described adjacent medial cranial arterial enhancing focus with residual 1.2 x 0.5 cm focus of residual arterial enhancement (series 9/68).Stable punctate subcentimeter focus of arterial enhancement in segment 8 measuring approximately 8 x 7 mm (series 9/74), compared to 7 x 6 mm previously.The segment 3 ablation cavity measures approximately 2.3 x 0.9 cm (series 10/71), compared to 2.6 x 1.1 cm previously. No associated arterial enhancement.Stable porta hepatis lymph nodes are not unexpected in the setting chronic liver disease.Normally distended gallbladder with mild gallbladder wall thickening, nonspecific in the setting of chronic liver disease. No specific evidence of acute gallbladder inflammation.SPLEEN: Splenomegaly measuring 18 cm in craniocaudal dimension with numerous siderotic nodules.Small splenorenal shunt.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: Stable vertebral body enhancing focus is unchanged dated back to 7/29/2014 (series 9/50).OTHER: No significant abnormality noted.
Post ablation changes of the liver. Residual arterial enhancing foci adjacent to segment 5 and segment 6 ablation cavities. The segment 6 lesion is significantly decreased in size from the prior.Stable nonspecific enhancing subcentimeter focus in segment 8.