History of primary biliary cirrhosis. Evaluate for hepatocellular carcinoma or suspicious lesion. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver with nodular surface contour. There is a reticular pattern of increased T2 signal throughout the hepatic parenchyma indicating a component of fibrosis. There are a few scattered subcentimeter foci of early arterial enhancement, however these do not demonstrate washout on the delayed images. No focal suspicious enhancing lesion.The hepatic veins, hepatic arteries, and portal veins are patent.Cholelithiasis without evidence of cholecystitis. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Redemonstration of numerous prominent perihepatic lymph nodes likely related to the patient's chronic liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Cirrhotic morphology of liver with dysplastic nodules, but no evidence of hepatocellular carcinoma.2.Stable mildly prominent perihepatic lymph nodes likely related to the patient's chronic liver disease.3.Cholelithiasis.