65-year-old male patient with cirrhosis with history of treated HCC. Status post TACE/RFA in 3/2015. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Area of T2 hypoenhancement compatible with RFA ablation cavity. There is a marginal nodule along the ablation cavity that measures 0.5 x 0.9 cm (series 10 image 32) that demonstrates arterial enhancement and washout on delayed images, suspicious for marginal recurrence. There is a focus less than 5 mm of arterial enhancement anteromedially to the resection cavity (series 10 image 32) that demonstrates questionable washout on delayed images.SPLEEN: Splenomegaly, measuring up to 13.5 cm in craniocaudal dimension.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: Hiatal hernia with paraesophageal and perigastric varices.BONES, SOFT TISSUES: Umbilical hernia noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with findings of a small marginal recurrence along the RFA resection cavity in the right lobe as described above.2.Focus of arterial enhancement with questionable washout anteromedial to the resection cavity is too small to accurately characterize. Attention to this area on follow-up imaging is recommended.