51-year-old male patient with NASH cirrhosis, history of hypoechoic lesions seen on abdominal ultrasound. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with a nodular contour. There is diffuse interlacing high T2 signal compatible with hepatic fibrosis. Mildly decreased signal on out of phase imaging is compatible with hepatic steatosis. No suspicious arterially enhancing lesion is identified to suggest hepatocellular carcinoma. A subcentimeter T2 hyperintense focus in the caudate lobe is compatible with a cyst. The hepatic veins and portal vein are patent.SPLEEN: No significant abnormality noted.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: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic morphology of the liver without suspicious lesion to suggest hepatocellular carcinoma.