32-year-old male with cirrhosis who presents for follow-up of liver lesion. ABDOMEN: Susceptibility artifact from left gastric embolization coils obscures upper left hemiabdomen and limits evaluation of the left hepatic lobe and partially of the right hepatic lobe.LIVER, BILIARY TRACT: Mild nodularity of the liver contour. No suspicious arterially enhancing lesions.Referenced hypoinensive, nonenhancing segment 4 lesion measures 1.8 x 1.3 cm (series 5, image 129), previously measuring 2.2 x 1.5 cm; the lesion does not demonstrate dropout on out of phase images on the current examination. No lesion on the hepatobiliary phase is identified.Transjugular intrahepatic portosystemic shunt is patent. Portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal gland is not visualized given the susceptibility artifact. The right adrenal gland is normal in size and morphology.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.Nonspecific segment 4 lesion is most likely a perfusion defect.2.Chronic liver disease without evidence of suspicious arterially enhancing lesions. Patient should continue with regular screening.