62-year-old female with HCV cirrhosis with segment 5 hepatic lesion measuring 12 x 10 mm. Evaluate for change in size. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology including left hepatic lobe and caudate lobe hypertrophy as well as fissural prominence.There is a segment 5 hepatic lesion demonstrating T2 intermediate, T1 hypointense, avid arterial enhancement and rapid washout. This lesion demonstrates signal dropout on out of phase images and measures 12 x 10 mm, unchanged.Status post cholecystectomy.SPLEEN: No significant abnormality noted.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: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic liver morphology with a stable segment 5 lesion, most compatible with fat containing hepatocellular carcinoma.