47-year-old male with history of hepatitis B and hepatocellular carcinoma status post resection/RFA. Patient presents for surveillance. ABDOMEN:LUNG BASES: Interval resolution of bilateral pleural effusions.LIVER, BILIARY TRACT: There has been interval RFA and lateral wedge resection for hepatocellular carcinoma when compared to the prior MRI examination. When compared to the previous CT examination, there has been interval improvement in the large areas of hypoattenuation with T2 hyperintensity on the current examination consistent with postablation changes. No evidence of arterially enhancing nodular lesions to suggest residual carcinoma. No evidence of hepatic or portal venous thrombus. No intra or extrahepatic biliary ductal dilatation. Postoperative changes of cholecystectomy.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.
1.Postsurgical and post RFA changes without evidence of nodular arterially enhancing hepatic lesions.2.Interval improvement in bilateral pleural effusions.