53 year-old female. Cirrhosis. Screen for HCC. ABDOMEN:LIVER, BILIARY TRACT: Liver contour: Nodular with widened fissures consistent with a cirrhotic morphology. Features of portal hypertension: Esophageal varices, ascites, and mild splenomegaly. Portal vein: Diffuse mild attenuation of the intrahepatic portal vein with maintained patency. Hepatic veins: Patent.Hepatic artery: Patent.Heterogenous diffuse arterial enhancement of the peripheral right hepatic lobe, likely a perfusion abnormality. No focal arterially enhancing mass with washout to suggest HCC. SPLEEN: Mild splenomegaly measuring 12.6 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Diffuse small bowel dilatation, favored to be from an ileus, though incompletely evaluated as the pelvis is not imaged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large amount of abdominal ascites. Nonspecific subcentimeter focus of diffusion restriction in the region of the right rib cage in the upper abdomen (series 708, image 608); no correlating abnormality on other sequences.
1. No suspicious hepatic mass. Cirrhotic liver and findings consistent with portal hypertension.2. Nonspecific subcentimeter focus of diffusion restriction along the right lower rib cage, of unclear etiology, special attention on follow-up exams to confirm stability. 