64-year-old man with history of alcohol cirrhosis, please evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour with widening hepatic fissures. Additionally, there is increased T2 signal in the right lobe of the liver with mild retention of contrast on the delayed phase images. There is a 13 x 11 mm, T2 hyperintense, nonenhancing cyst at the porta hepatis (series 701, image 25). No arterially enhancing lesions are identified.The gallbladder appears normal. There is no intra or extrahepatic biliary duct dilatation.SPLEEN: The spleen is enlarged at 14.3 cm. Susceptibility artifact near the splenic hilum is likely secondary to vascular clip.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Innumerable, subcentimeter T2 hyperintense lesions are seen in the kidneys bilaterally, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: There is a trace amount of perihepatic ascites.BONES, SOFT TISSUES: Bilateral gynecomastia.OTHER: No significant abnormality noted.
Cirrhotic and fibrotic liver without lesions suspicious for malignancy.