70 year old female. History of HCC status post TACE/RFA. Evaluate for recurrence. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Portal vein: Portal vein proximal to the TIPS is patent. Intraluminal portion of the distal TIPS is not well assessed due to artifact.Hepatic artery: PatentLow signal T1 and T2 wedge-shaped defect in segment 3 without enhancing component to indicate recurrence. No new suspicious hepatic mass.Cholelithiasis.SPLEEN: Splenomegaly measuring 14.5 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts, unchanged. Some have intrinsic T1 hyperintensity consistent with hemorrhagic/proteinaceous cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Multiple uterine masses seen only on the coronal images, most likely fibroids.
Stable ablation changes in segment 3 without evidence of recurrent HCC.