63-year-old man with history of HCV and HCC status post TACE/RFA 8/24/2016. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with fibrosis and multiple regenerative nodules. Segment 8 zone of ablation appears unremarkable with T1 hyperintense areas suggestive of hemorrhage but no abnormal enhancement.Adjacent to this zone of ablation, there is a 16 x 15 mm T2 hyperintense, arterially enhancing, and newly washing out (12/499) lesion which abuts the capsule.The gallbladder appears normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: Splenomegaly, otherwise the spleen appears normal.PANCREAS: There is pancreas divisum and the pancreas parenchyma is atrophic.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts 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.Satellite lesion near the zone of ablation which, compared to prior exams, now washes out on delayed phases of enhanced imaging and is compatible with HCC progressed from a dysplastic nodule.2.Zone of ablation with expected findings and no evidence of residual disease.