Male 65 years old; MRI abdomen evaluated liver lesions, masses, HCC. Liver vascular patency. LIVER, BILIARY TRACT: Liver has a nodular contour and widened fissures compatible with chronic liver disease/cirrhosis. Within segment 8 of the liver there is a mildly T2 hyperintense lesion that demonstrates arterial enhancement with areas of subtle washout. The lesion measures at least 4.5 x 3.2cm. It is in continuity with the hepatic vein and hepatic venous involvement is suspected. Left and right portal veins are patent. The anterior branch of the right portal vein is involved with tumor. There is overlying capsular retraction.There are other enhancing foci in both lobes of the liver. Which does not show washout and is considered indeterminate.There is a indeterminate lesion measuring 1.5 cm x 1.2 cm in segment 3 of the liver which does not show arterial enhancement and shows questionable washout. The background liver is nodular and fibrotic.There is enlarged portacaval and peripancreatic lymphadenopathy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Upper abdominal peripancreatic and portacaval lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.INDEX LESION MEASUREMENTS (Current exam date/time: 7/26/2016 18:55:00)SEGMENT 8 LESION: 4.5 x 3.2 cm (Image 16, Series 10).SEGMENT 3 LESION: 1.5 x 1.2 cm (Image 36, Series 15).
1.Dominant segment 8 hepatic lesion (4.5cm) with suspected extension into the hepatic vein. The lesion also involves the anterior branch of the right portal vein.2.Hypoattenuating segment 2 lesion measuring 1.5 cm is considered indeterminate.3.Additional small hypervascular foci in the liver too small to characterize.