Male 77 years old Reason: Bleeding liver mass s/p embolization, mass etiology unknown, follow-up History: liver mass ABDOMEN:LIVER, BILIARY TRACT: The heterogeneous, exophytic left hepatic mass measures 3.5 x 3.3 cm, stable from prior study where it also measured 3.5 x 3.3 cm. There is no washout on postcontrast sequences. There is progressive incomplete peripheral nodular enhancement. No new lesions are noted. An adjacent T2 hyperintense lesion is consistent with a simple cyst. A subcentimeter hypoenhancing lesion in the posterior right hepatic lobe (series 9, image 47) is nonspecific but unchanged compared to prior study.Layering material within the gallbladder suggestive of sludge/stones.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.An exophytic left hepatic mass is unchanged in size. It is difficult to accurately characterize given the history of prior embolization but may represent a hemangioma. Again, further evaluation with percutaneous biopsy could be considered if clinically warranted.