The seen in the right lobe on ultrasound suspicious for HCC. Elevated alkaline phosphatase. Cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour, compatible with cirrhosis. Within segment 6, there is a T2 hyperintense, enhancing peripheral lesion with washout and restricted diffusion measuring 3.4 x 3.4 cm (series 16, image 89), compatible with hepatocellular carcinoma. There is no capsular retraction or biliary ductal dilatation. The portal vein is patent. Cholelithiasis, without evidence of cholecystitis.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 lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Segment 6 enhancing lesion with washout in a cirrhotic liver, compatible with hepatocellular carcinoma.2.Cholelithiasis, without evidence of cholecystitis.