History of hepatitis presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology.Nonspecific punctate subcentimeter enhancing focus in segment 8 (series 10/22) is unchanged and demonstrates no washout on delayed imaging. This may represent a perfusion anomaly, attention to this on subsequent surveillance imaging is recommended.Stable segment 5 completion cavity measuring 3.6 x 2.5 cm (series 9/128).Stable segment 6 ablation cavity measuring 5.8 x 4.8 cm (series 9/129). Internal T1 hyperintensities compatible with blood products.The vessels are patent.Cholelithiasis within a normally distended gallbladder. No intra or extrahepatic biliary ductal dilatation.SPLEEN: Borderline splenomegaly without a focal lesion, unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter bilateral renal cysts. No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Site of previously seen right-sided Spigelian hernia demonstrates postsurgical changes and 3.3 x 1.6 cm fluid collection, likely postsurgical.OTHER: No significant abnormality noted.
Cirrhotic liver with stable postablation zones without a suspicious lesion. Enhancing focus in segment 8 (series 10/22) is unchanged and demonstrates no washout on delayed imaging. This may represent a perfusion anomaly; attention to this on subsequent surveillance imaging is recommended. 