80-year-old female with HCC status post TACE/RFA ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. The post ablation zone is seen along the right hepatic dome, segment eight. No abnormal enhancement suspicious for HCC. Nodular subcentimeter foci of enhancement without definitive washout seen on the prior exam is not as well noted on the current study and is felt to reflect perfusional defects related to dysplastic changes. Further attention on subsequent studies is recommended.No new focal liver lesions. Portacaval varices.SPLEEN: No significant abnormality noted.PANCREAS: Diffuse pancreatic parenchymal atrophy with dilated main pancreatic duct with side branch ectasia, unchanged compared to prior exam. Cystic lesions in the head and body of the pancreas compatible with IPMNs, unchanged. Stones are noted within the pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Scattered porta hepatis lymph nodes are unchanged. BOWEL, MESENTERY: Large hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of local recurrence within the right hepatic dome ablation zone. 2.Nodular subcentimeter foci of enhancement without definitive washout seen on the prior exam is not as well noted on the current study and is felt to reflect perfusional defects related to dysplastic changes. Further attention on subsequent studies is recommended.3.No significant change in diffuse pancreatic parenchymal atrophy with dilated main pancreatic duct, side branch ectasia, and IPMNs as described above. Pancreatic stones are noted.