Reason: r/o hcc History: History of long-term primary sclerosing cholangitis and ulcerative colitis, liver cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No arterially enhancing lesion with washout is present to suggest HCC. Peripheral cystic foci in the left lobe of the liver. One of them is more tubular shaped and measures 20 x 11 mm (series 9 image 309) and more lobular lesion measures 21 x 12 mm (series 9 image 301). These may represent focal intrahepatic dilatation, but cannot exclude abscess.No obvious choledocholithiasis or stricture of the bile duct is noted.SPLEEN: Liver measures 18.8 cm and is enlarged. Splenule noted near the splenic hilum.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Periportal adenopathy is likely due to primary sclerosing cholangitis.BOWEL, MESENTERY: Loss of haustra and mild mucosal enhancement of the colon compatible with ulcerative colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Peripheral cystic foci in the left lobe of the liver may represent focal intrahepatic dilatation, but cannot exclude abscess.2.No specific evidence of HCC.3.Findings of liver cirrhosis and splenomegaly.4.For future follow-up, recommend MRCP exam.