Male 59 years old Reason: HCV, Cirrhosis, elevated AFP, US negative for HCC, eval for HCC in light of elevated AFP History: HCV, Cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Liver has a cirrhotic morphology. There are several hypervascular right hepatic lobe lesions. The largest measuring 1.0 x 1.0 cm on (image 532/series 1102). This lesion has washout to background liver on the delayed phase of imaging. (Image 545/series 1105). The lesions are also hyperintense on T2-weighted imaging.The hepatic and portal veins are patent.Particular enhancement of the hepatic parenchyma suggests fibrosis. 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 ascites.
Multiple hypervascular right hepatic lobe lesions. There are at least 2 hepatic lesions that meet the criteria for HCC.