73-year-old male patient with history of cirrhosis and two subcentimeter nodules seen on outside imaging. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Note that evaluation of the left hepatic lobe is limited due to adjacent metal artifact. Nodular liver contour compatible with cirrhosis. Liver is hypointense on in phase imaging compared to out of phase imaging, which can be seen in the setting of iron deposition. No intra or extrahepatic biliary duct dilatation.There is an arterial enhancing lesion in the inferior tip of segment five that measures 1.5 x 1.8 cm (series 901 image 162) and demonstrates restricted diffusion. This lesion does not demonstrate washout on delayed imaging.There is an ill-defined focus of arterial enhancement in segment 8 (series 901 image 277) that is not well seen on delayed imaging.There is recanalization of the umbilical vein.SPLEEN: Mild splenomegaly, measuring up to 13.8 cm in craniocaudal dimension. T1 and T2 serpiginous low signal abnormality may represent sequelae of prior splenic infarct.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple cysts bilaterally. There is a subcentimeter proteinaceous cyst in the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two arterially lesions within the liver parenchyma, one of which demonstrates restricted diffusion and is suspicious. However, neither lesion meets specific criteria for diagnosis of HCC. Continue follow up as clinically indicated. 2.Cirrhotic liver morphology and mild splenomegaly.