65 years, Male, Reason: HCC screening History: cirrhosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. Multiple gallstones without evidence cholecystitis. Common bile duct appears normal. No focal suspicious lesions evident.Paradoxical signal change on in phase images suggests iron deposition.SPLEEN: Splenomegaly. Paradoxical signal change on in phase images suggests iron deposition.PANCREAS: Paradoxical signal change on in phase images suggests iron deposition.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: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic morphology without focal lesion to suggest HCC.2.Paradoxical low signal in the liver, spleen and pancreas. In a patient with a known hematologic malignancy and multiple transfusions, this likely reflects iron deposition.3.Cholelithiasis.