Male; 71 years old. Reason: assess for HCC recurrence. History: HCC s/p treatment. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour and caudate lobe hypertrophy are again noted and compatible with cirrhosis. Patent hepatic vasculature. Perigastric varices indicative of portal hypertension. Cholelithiasis. No biliary ductal dilatation. There has not been significant interval change in size of the treatment cavities s/p ablation, with both cavities demonstrating high intrinsic T1 signal compatible with residual blood products. Subcapsular segment 6 cavity measures 5.8 x 4.8 cm, previously 5.7 x 4.6 cm (series 9, image 38), and the segment 5 treatment cavity measures 3.6 x 2.5 cm, previously 3.5 x 2.3 cm (series 9, image 39). No definite enhancing areas of soft tissue are noted in either cavity to indicate residual/recurrent tumor. No suspicious arterially enhancing lesions seen elsewhere in the liver. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Scattered bilateral renal cysts. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small anterior wall hernia (Spigelian versus incisional) in the right lower quadrant containing mesenteric fat and nonobstructive loops of small bowel, unchanged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology without significant interval change in size and appearance of ablation cavities as described above. 2.No new suspicious lesions or definite evidence of residual enhancing tumor. 3.Cholelithiasis.