Cirrhosis, surveillance for liver tumor ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly with cirrhotic morphology and fatty infiltration. Peripherally enhancing lesion in segment 6 measures 1.4 x 1.3 cm (series 1102, image 397), previously 1.8 x 1.5 cm. A second peripherally enhancing lesion in segment 7-8 measures 1.0 x 1.1 cm (series 1102, image 562), previously 1.0 x 1.2 cm. Previously demonstrated third enhancing hepatic lesion is not seen on the current exam.SPLEEN: The spleen is top normal measuring 14 cm in length.PANCREAS: Several small cystic lesions within the pancreas are favored to represent side branch IPMNs and are unchanged in size. No pancreatic duct dilation.ADRENAL GLANDS: No significant abnormality noted.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.Peripherally enhancing right hepatic lobe lesions do not meet strict criteria for HCC but warrant continued surveillance in the setting of cirrhosis.2.Side branch IPMNs without interval change.