68-year-old male. HCC, cirrhosis, HCV. Status post TACE/RFA. Evaluate liver lesions. ABDOMEN:LIVER, BILIARY TRACT: Ablation cavity in segment 5 has mildly increased in size status post recent re-ablation and now measures up to 2.2 x 4.7 cm (13/50), previously 1.8 x 3.6 cm. No evidence residual or recurrent tumor.New ablation cavity in segment 6 measures up to 4.3 x 2.9 cm. No evidence of residual or recurrent tumor.Intrinsic high T1 signal within both ablation cavities, most likely due to hemorrhage.No biliary ductal dilatation. Patent hepatic artery, hepatic vein, and portal vein. Cirrhotic liver morphology.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mildly atrophic kidneys.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two right hepatic lobe ablation cavities without evidence of residual or recurrent tumor.