History of hepatocellular carcinoma status post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. The segment 8 ablation cavity measures approximately 2.8 x 15, cm, not significantly changed and without evidence of marginal residual or recurrent disease. No new suspicious arterial enhancing and washing out lesion. A peripheral, wedge-shaped area of increased enhancement on arterial phase in segment 8 which lacks washout is compatible with a transient hepatic intensity difference.Decreased parenchymal signal intensity on out of phase images is compatible with hepatic steatosis. The hepatic vasculature appears patent.No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Normal splenic size without a focal lesion.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: Heterogeneous bone marrow signal intensity with areas of increased T2 signal is nonspecific but appears similar to the 1/15/2016 examination. Degenerative changes affect the spine.OTHER: No significant abnormality noted.
1.Stable post treatment changes of segment 8 without evidence of residual or recurrent hepatic neoplasm. 2.Nonspecific heterogeneous bone marrow signal, not significantly changed.