72-year-old male patient with cirrhosis and lesion on previous imaging suspicious for HCC. Assess for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. Bandlike increased T2 signal within the porta hepatis with delayed enhancement is compatible with fibrosis, unchanged. No intra- or extrahepatic biliary ductal dilatation. Cholelithiasis without evidence of acute cholecystitis. A 7 mm enhancing focus with apparent washout on delayed images within segment five of the liver appears similar in size to the prior study (image 32, series 9). Additional nonenhancing lesions likely represent cysts. No new hepatic lesion is identified.Redemonstration of occlusion of the posterior branch of the right portal vein with eccentric thrombus with a portion of the main portal vein. There is recannulization of the umbilical vein and periumbilical varices. The splenic vein is occluded, unchangedSPLEEN: Splenomegaly measuring 17.3 cm in the craniocaudal dimension. A peripheral wedge-shaped region of T2 hyperintensity likely represents an infarct, unchanged. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing, hyperintense renal lesions likely representing cysts are unchanged. A subcentimeter left upper pole hemorrhagic cyst cyst is stable.RETROPERITONEUM, LYMPH NODES: Small linear signal abnormality in the proximal celiac artery likely represents a small dissection.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Subcentimeter arterially enhancing focus with washout in segment 6 of the liver is stable in size, but remains suspicious for HCC.2.Unchanged thrombosis of the splenic vein, posterior branch of the right portal vein, and eccentric thrombus within the main portal vein. 