History of multifocal hepatocellular carcinoma status post resection and subsequent TACE/RFA. Evaluate for tumor recurrence. History of omental and diaphragmatic metastases in 2011. ABDOMEN:LIVER, BILIARY TRACT: The segment 6 ablation cavity measures approximately 5.8 x 5.3 cm (series 4/238), compared to 5.8 x 5.7 cm previously containing heterogeneous proteinaceous/hemorrhagic debris.The segment 5 ablation cavity measures approximately 4.0 x 3.5 cm (series 4/237) compared to 3.9 x 3.7 cm previously containing heterogeneous proteinaceous/hemorrhagic debris.No evidence of residual or recurrent disease along the ablation margin.Very faintly enhancing segment 8 focus is less conspicuous than on the prior study without evidence of washout on delayed phase imaging. This may represent a perfusional anomaly.Cirrhotic liver morphology with mild fibrotic changes.No intrahepatic or extrahepatic biliary ductal dilatation. Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing cortical renal cysts. No hydronephrosis or suspicious lesion. Mild left cortical scarring.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.
Cirrhotic liver with grossly stable postablation changes without evidence of a marginal recurrence or suspicious lesion. Faintly enhancing segment 8 focus is less conspicuous on today's study without washout and may represent a perfusional anomaly.