History of hepatitis C and cirrhosis. Evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of liver with nodular surface contour and fissural widening. There are no foci of abnormal enhancement to suggest hepatocellular carcinoma. The hepatic artery, hepatic veins, and portal veins are widely patent. Diffuse parenchymal signal loss on the out of phase images compatible with hepatic stenosis. No intrahepatic or extrahepatic biliary ductal dilatation. No cholelithiasis.SPLEEN: The spleen is normal in size.PANCREAS: The pancreas is normal in morphology. There are multiple subcentimeter simple cystic foci in the body and tail which may represent small sidebranch IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple simple renal cysts bilaterally. A cyst in the inferior pole of the right kidney has intrinsic high T1 signal compatible with a hemorrhagic or proteinaceous cyst.RETROPERITONEUM, LYMPH NODES: There are several mildly prominent porta hepatis lymph nodes likely reactive related to the patient's chronic liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Artifact related to prior median sternotomy hardware.OTHER: No ascites.
1.Cirrhotic morphology liver without suspicious masslesion.2.Scattered subcentimeter cystic foci within the pancreatic body and tail likely representing small sidebranch IPMNs. 