Male; 72 years old. Reason: Assess for HCV recurrence History: S/P TACE/RFA for HCC 2/2 HBV ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour and caudate lobe hypertrophy are again noted and compatible with cirrhosis. Patent hepatic vasculature. Perigastric varices indicative of portal hypertension. Cholelithiasis. No biliary ductal dilatation. There has not been significant interval change in size of the treatment cavities s/p ablation, with both cavities demonstrating high intrinsic T1 signal compatible with residual blood products. Subcapsular segment 6 cavity measures 5.8 x 4.8 cm, unchanged (series 9, image 34), and the segment 5 treatment cavity measures 3.6 x 2.5 cm, unchanged (series 9, image 31). No definite enhancing areas of soft tissue are noted in either cavity to indicate residual/recurrent tumor. No suspicious arterially enhancing lesions seen elsewhere in the liver. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable scattered, small bilateral renal T2 hyperintensities, likely cysts. Stable focal cortical thinning of the left kidney upper pole, mostly due to chronic infarct or prior infection.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small anterior wall hernia (Spigelian versus incisional) in the right lower quadrant containing mesenteric fat and nonobstructive loops of small bowel, partially visualized and unchanged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology without significant interval change in size and appearance of ablation cavities.2.No evidence of residual or recurrent tumor. 