Reason: HCV cirrhotic History of HCC s/p TACE/RFA with new lesion on follow up imaging. Reviewed at radiology conference instruction to f/u with surveillance imaging History: History of HCC s/p TACE/RFA with new lesion on follow up imaging. Reviewed at radiology conference instruction to f/u with surveillance imaging ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver.RFA defect in the inferior segment 6 is unchanged with no new arterial enhancement.RFA defect in segment 8 is unchanged. There is heterogeneous signal with intrinsic T1 hyperintense signal compatible with proteinaceous or blood products. No abnormal enhancement. Adjacent focal intrahepatic biliary ductal dilatation, likely related to fibrosis. Surrounding parenchymal perfusional abnormality.Small arterial phase enhancing lesion in the dome of the liver is not visualized.No new arterial enhancing lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: 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.Segment 8 ablation defect with intrinsic T1 signal compatible with proteinaceous or hemorrhagic products. Stable segment 6 ablation defect. No evidence of residual or recurrent tumor.2.Small arterial enhancing lesion in segment 8 seen on CT is not identified on this examination.