66-year-old woman with history of cirrhosis, HCC, and second lesion seen near the gallbladder fossa. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with widened fissures and nodular contour. In segment 5 of the liver (series 6, image 17) there is a 35 x 32 mm T2 hyperintense lesion with central hypointensity which demonstrates peripheral enhancement throughout all phases of contrast including retention on delayed phases. This lesion appeared similar on the previous examination and measured 33 x 28 mm.Additionally, in segment 8 (series 6, image 13) there is a 36 x 30 mm uniformly T2 hyperintense lesion which, on the prior outside study, demonstrated arterial enhancement and washout on delayed phase of imaging. On the current study, the enhancement pattern is indeterminate. This lesion measured 35 x 20 mm on the prior examination.Additionally, in segment 2 (series 6, image 8) there is a subcentimeter lesion which is hyperintense on T2 sequences but not seen on the postcontrast images or the prior, outside examination.There is no intrahepatic or extra hepatic biliary duct dilatation. The gallbladder is normal.SPLEEN: The spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There are subcentimeter renal cysts, otherwise the kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Segment 5 lesion with similar imaging appearance to the prior examination and suspicious for intrahepatic cholangiocarcinoma.2.Segment 8 lesion with indeterminate enhancement characteristics on today's examination, but findings on the prior examination suspicious for hepatocellular carcinoma.3.Segment 2 lesion which is too small to accurately characterize.