Reason: eval for progression of HCC History: mildly enlarging liver lesion. Limited exam without the use of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Stable ablation cavity in the right hepatic lobe with internal debris/hemorrhage. Enhancement cannot be assessed.Previously seen mildly T2 hyperintense arterial enhancing lesion in segment 3 is not visualized on the T2 sequences possibly due to slice selection.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst with thin septation, unchanged. Subcentimeter left renal cyst. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Esophageal varices.BONES, SOFT TISSUES: Fat-containing ventral hernia. L1 and L2 vertebral body hemangiomas. OTHER: No significant abnormality noted.
1.Previously seen subcentimeter T2 hyperintense arterial enhancing lesion is not identified on the T2 sequences, possibly due to slice selection. If continued follow up is required, recommend pre and post contrast MRI when patient's acute renal failure has resolved. 2.Stable right hepatic lobe ablation cavity. Recurrence cannot be assessed without contrast.