Male; 55 years old. Reason: HCC? History: Rising AFP, cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Nodular hepatic contour is compatible with cirrhosis. Paraumbilical and esophageal varices indicate portal hypertension and are unchanged. New arterially enhancing lesion in segment 8 abuts the middle hepatic vein and demonstrates washout on delayed phase images, measuring 11 x 10 mm (series 11, image 29). Patent hepatic vasculature. No biliary ductal dilatation. Cholelithiasis. Enhancing polypoid nodule in gallbladder fundus of unclear etiology (series 12, image 72). SPLEEN: Mild splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with new arterially enhancing segment 8 lesion that meets criteria for HCC. 2.Enhancing polypoid nodule in gallbladder fundus of unclear etiology. 3.Cholelithiasis. 