Reason: evaluate status of HCC - had marginal HCC recurrence on 4/7 MRI - s/p RFA on 4/16 - needs follow up imaging History: cirrhosis, HCC ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhosis with widening of the fissures. Hepatic steatosis and areas of fibrosis. Patent hepatic vasculature. No biliary dilatation. Status post cholecystectomy.Mildly increased size of segment 1 ablation cavity due to interval re-ablation with the cavity measuring up to 4 x 3.4 cm, previously 2.8 x 2.1 cm (series 11/40). Intrinsic high T1 signal within the cavity due to hemorrhage. There is mild heterogeneous signal surrounding this ablation cavity, but there is no enhancement or lesion suspicious for residual or recurrent tumor.Slightly decreased size of segment 8 ablation cavity measuring up to 0.9 x 0.9 cm, previously 1.1 x 1.0 cm (series 12/31). No evidence of residual or recurrent tumor.SPLEEN: Splenomegaly. PANCREAS: Stable small, nonspecific cystic lesion in the uncinate process, may be a sidebranch type IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable bilateral subcentimeter T2 hyperintensities, likely cysts.RETROPERITONEUM, LYMPH NODES: No pathologically enlarged lymph nodes by size criteria.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Midline incisional changes with small amount of fluid signal.OTHER: Moderate right pleural effusion, partially visualized.
1.Right hepatic lobe ablation cavities without evidence of residual or recurrent tumor.2.Stable nonspecific cystic lesion in the uncinate process, may be an IPMN.3.Moderate right pleural effusion, partially visualized.