69-year-old female with history of HCV cirrhosis who presents for hepatocellular carcinoma evaluation. ABDOMEN:LIVER, BILIARY TRACT: Smooth contour of the liver. Perigastric and esophageal varices again noted. No suspicious hepatic mass. There is a 1 cm right hepatic lobe cyst with thin septation, unchanged compared to the previous examination. Portal venous system, hepatic veins, and hepatic arteries are patent.SPLEEN: Mild splenomegaly.PANCREAS: The pancreas is normal in signal intensity and morphology. No pancreatic ductal dilatation or suspicious mass.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly enlarged gastrohepatic lymph nodes, likely sequela of cirrhosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Sequela of cirrhosis without suspicious hepatic mass.2.Stable 1 cm cystic lesion in the right hepatic lobe with thin septation, most compatible with benign cyst.