Male 66 years old; Reason: eval liver lesions masses, S/P TACE/RFA 2 lesions History: HCC, HCV ABDOMEN:LIVER, BILIARY TRACT: Liver contour: Cirrhotic liver morphology. The liver has a nodular contour with widened fissures. No biliary ductal dilatation. Features of portal hypertension: Minimal perihepatic ascites is again seen. The spleen is upper limit normal. Small perigastric varices. Portal vein: Patent. Hepatic veins: Patent.Hepatic artery: Conventional arterial anatomy.The previously noted in arterially enhancing lesion in the hepatic dome is not visualized on today's examination. The adjacent ablation cavity has decreased in size, measuring 2.2 x 1.9 cm, previously 2.8 x 1.7 cm (series 8 image 9).The segment 3 cavity measures 2.4 x 1 .4 cm, previously 2.8 x 1.6 cm (series 9 image 44). No residual enhancing tumor is evident.The segment 8 ablation cavity is also not significantly changed measuring 2.7 x 1.3 cm (series 9 image 25), previously 2.7 x 1.3 cm. No residual enhancing tumor is evident.The reference punctate nodular focus of early arterial enhancement in segment 5 measures 6 mm in maximum dimension, previously 6 mm. It does not demonstrate restricted diffusion or washout and may represent a transient hepatic arterial perfusion defect. 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 interval change in right cardiophrenic lymph node which measures 1.2 x 0 .8 cm, previously 1.2 x 0.8 cm (series 9 image 110).Partially visualized infrarenal aortic aneurysm now measuring up to 5.0 cm in the maximum axial dimension, previously 4.7 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver with ablation cavities in the hepatic dome, segment 8, and segment 3. No residual enhancing foci are evident to indicate residual tumor at the treatment sites.2.Interval increase in size of the previously described abdominal aortic aneurysm which now measures up to 5.0 cm in diameter.These findings were discussed with Dr. Te at 1:30 pm on 1/23/2015.