Female 66 years old Reason: eval for cirrhosis and HCC History: right-sided heart failure, portal hypertension The study is limited by diffuse abdominal ascites with resultant artifact.ABDOMEN:LUNG BASES: The right atrium is severely enlarged consistent with tricuspid regurgitation. There is reflux into the hepatic veins consistent with congestive cardiac failure.LIVER, BILIARY TRACT: The liver is diffusely fibrotic and cirrhotic. No arterially enhancing lesion is identified. No areas of delayed washout are identified.SPLEEN: No significant abnormality noted. No significant splenomegaly.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: Diffuse abdominal ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER:
1 .No lesion suspicious for HCC within the limitations of this study. 2. Diffuse abdominal ascites. Consideration should be given to diuresis prior to additional MR imaging.