History of HCC status post TACE/RFA presents for follow-up. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with T2 weighted reticulation consistent with fibrosis. The patient experienced contrast extravasation during the examination and was unable to continue with the examination, severely limiting the sensitivity for evaluation of hepatocellular carcinoma. No T2 hyperintense or diffusion restricting lesion is identified.Previously the patient has been ablated in segment 2/3.No biliary ductal dilatation.SPLEEN: Status post splenectomy.PANCREAS: No significant abnormality noted. Note is made of a bifid pancreatic duct with a persistent Duct of Santorini.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable probable subcentimeter cyst in the lower pole of the right kidney.RETROPERITONEUM, LYMPH NODES: Tortuous thoracic aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Nondiagnostic examination as there was extravasation during contrast administration and the patient was unable to continue. The patient will be called back for postcontrast imaging.2.Cirrhosis without a discrete T2 hyperintensity or diffusion restricting lesion.Contrast extravasation description:Supervising radiologist: Dr. ShethMinor or major extravasation: MinorContrast type:16 cc of Multihance were administered. Amount extravasated: 16 ccLocation of extravasation: Left antecubital fossaSigns and symptoms: Pain.Treatment given: Cold compress.Discharge instructions given: Yes