History of hepatocellular carcinoma. Status post TACE/RFA. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Mild cirrhotic morphology with fissural widening and subtle capsule nodularity. There is an ablation cavity in segment 6 of the liver from the patient's prior RFA. This contains increased T1 signal compatible with hemorrhage. There is no associated adjacent enhancement or washout to indicate residual tumor.There is an additional ablation cavity in the hepatic dome related to prior treatment. There is extensive adjacent increased T2 signal appearing similar to prior. There is early enhancement, but no washout of this region also appearing similar to prior and compatible with scarring.No areas of suspicious focal enhancement.The hepatic veins, portal veins, and hepatic arteries are patent.SPLEEN: The spleen is normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral simple renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Post ablation findings in the hepatic dome and segment 6. No areas of suspicious washout to indicate residual tumor.2.Cirrhotic morphology of liver without evidence of portal hypertension.