Reason: HCC s/p TACE RFA, follow up History: HCV cirrhosis, HCC. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic fibrotic liver morphology.The segment 2/3 ablation cavity measures approximately 3 x 2.6 cm (axial series 10 image 226), previously 3.4 x 2.8 cm and without residual arterial enhancing lesion to suggest marginal residual or recurrent disease.Several punctate transient hepatic intensity differences are noted. No new suspicious arterially enhancing and washing out lesions are identified.No biliary ductal dilatation or vascular abnormality.SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable small cyst of the right lower renal pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Gastroesophageal varices appearing similar to prior. Artifacts related to air within a duodenal diverticulum is noted (axial series 10 image 263).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Slightly decreased size of segment 2/3 ablation cavity without evidence of residual or recurrent disease.2. Cirrhosis with gastroesophageal varices. No ascites.3. Status post splenectomy and distal pancreatectomy.