History of cirrhosis with HCC status post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic liver morphology.Post ablation changes in segment 8 of the liver measuring 2.2 x 1.7 cm (series 10/133) with intrinsic proteinaceous/hemorrhagic debris. Minimal thin enhancement around the ablation cavity without nodular enhancement. No specific evidence of residual or recurrent tumor. No new suspicious lesion.Cholelithiasis without cholecystitis. Recannulized umbilical vein. The common hepatic artery arises from the aorta. The vessels are patent.SPLEEN: Mild splenomegaly measuring 13.8 cm in length.PANCREAS: Cystic lesion in the pancreatic head measuring up to 1.3 cm (series 8/12) unchanged and demonstrates no suspicious postcontrast features.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing bilateral renal cysts.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. Post ablation changes of the segment 8 lesion without evidence of residual or recurrent disease. No new lesions.2. Stable cystic lesion of the pancreatic head may represent a side-branch IPMN. Consider MRCP images in addition to standard liver protocol on follow-up imaging to confirm communication with the main pancreatic duct.