58-year-old male with history of hepatitis C cirrhosis, HCC. Evaluate for metastases. Evaluate cardiopulmonary status. Pre-liver transplant candidate. LUNGS AND PLEURA: Mild paraseptal apical predominant emphysema. Right upper lobe calcified granuloma. Scarring or atelectasis at the bases. No suspicious pulmonary nodules. No pleural effusions.MEDIASTINUM AND HILA: Residual thymic tissue. Normal cardiac size. Mild coronary artery calcifications. No significant mediastinal or hilar lymphadenopathy.CHEST WALL: No significant axillary lymphadenopathy. No suspicious osseous lesions.UPPER ABDOMEN: Hypertrophy of the left lobe with atrophy of the right lobe and nodular contour of the liver compatible with the given history of cirrhosis. Splenomegaly incompletely evaluated. Hypodense lesion in segment 5 most likely represents patient's known HCC (image 70/86). Additional hypodense lesions in the right lobe of the liver are too small to characterize. If further evaluation is required a dedicated liver CT/MRI may be considered.
1. No evidence of thoracic metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.