History of liver lesions. History of cirrhosis. ABDOMEN: Susceptibility artifact in the left upper quadrant slightly limits evaluation of the lateral hepatic segment.LIVER, BILIARY TRACT: Cirrhotic fibrotic liver morphology. Several punctate siderotic nodules are noted on the in phase imaging.Demonstrated again is the arterially enhancing lesion in the inferior aspect of the right hepatic lobe measuring 1.6 x 1.5 cm (series 1501/107), compared to 1.4 x 1.3 cm previously. There is no definite washout of the lesion. The lesion is associated with mild T2-weighted hyperintensity and restricted diffusion. The lesion bulges the capsule.The segment 8 focus with mild intrinsic T1 weighted hyperintensity with questionable arterial enhancement with suspected washout, measuring approximately 8 mm (series 1 501/2 37), unchanged.There are several additional punctate foci of arterial enhancement some of which are better seen than on the prior study, but are grossly unchanged, dating back to 8/18/2015.The hepatic vasculature is unremarkable.No intra or extrahepatic biliary ductal dilatation. Normally distended gallbladder.Trace perihepatic ascites. Recannulated periumbilical vein.SPLEEN: The spleen measures 13.1 cm in length. In the superior dorsal aspect of the spleen there is a small wedge-shaped signal abnormality likely reflecting a small chronic infarct.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several bilateral T2-weighted hyperintense foci some of which are too small to characterize, likely simple cysts. Mild right renal cortical scarring/thinning.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild bilateral gynecomastia. Compression deformity of a midthoracic vertebral body is incompletely evaluated and only seen on the coronal images. Cardiomegaly.OTHER: No significant abnormality noted.
1.Cirrhotic fibrotic liver with a 1.6 cm segment 5 arterially enhancing lesion without definite washout demonstrating T2-weighted hyperintensity and restricted diffusion. In 2015 the lesion measured approximately 1.2 cm. The lesion is suspicious for HCC but does not meet AASLD imaging criteria for HCC.2.Stable additional arterial enhancing subcentimeter foci, including a segment 8 lesion; attention to these on follow-up imaging is recommended.3.Borderline splenomegaly, trace perihepatic ascites and recanalized umbilical vein.4.New mid thoracic vertebral body compression deformity.