Cirrhosis with HCC status post TACE/RFA. Segment 8 1.6 cm lesion. ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic liver morphology.The segment 8 ablation cavity measures approximately 1.8 x 1.3 cm, compared to 2.2 x 1.7 cm previously with internal T1-weighted hyperintense debris. There is a punctate nodular focus of arterial enhancement along the anterior and caudal aspect of the ablation cavity without definite washout. Otherwise minimal thin enhancement around the ablation cavity is unchanged.There is plaque-like enhancing focus at the gallbladder fundus measuring 1.2 x 0.5 cm, unchanged dating back to 1/6/2015, with associated T2-weighted cystic intensity, likely focal adenomyomatosis. Cholelithiasis without cholecystitis. Recanalized umbilical vein. The common hepatic artery originates from the aorta. The vessels are patent.SPLEEN: Stable mild splenomegaly, measuring 14 cm in length.PANCREAS: Lobular cystic focus in the pancreatic head measuring approximately 1.3 cm is unchanged, likely communicates with a normal caliber pancreatic duct. No suspicious postcontrast imaging features.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: No significant abnormality noted.
1.Punctate nodular enhancement along the anterior and caudal aspect of the segment 8 ablation cavity may be posttreatment changes, however attention to this on follow-up imaging is recommended.2.No new suspicious liver lesion.3.Stable cystic lesion in head may represent a side branch IPMN without suspicious imaging features.