Male 81 years old Reason: HCC s/p TACE RFA, follow up History: HBV cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Liver has a cirrhotic morphology with advanced atrophy of the right hepatic lobe.There are 3 ablation sites in the liver.* Right hepatic lobe superior lesions measures 3.3 x 1.9 cm (image 27/series 11) previously, 3.2 x 1.8 cm.* Right hepatic lobe inferior lesion measures 2.6 x 1.8 cm (image 25/series 11) previously, 3.2 x 1.9 cm.* Left hepatic lobe ablation cavity measures 1.9 x 1.4 cm (image 31/series 11) previously, 2.1 x 1.8 cm.* In the right hepatic lobe adjacent to the IVC there is a focal enhancing lesion measuring 1.7 x 1.3 cm (image 29/series 10), the lesion shows subtle washout on delayed phase imaging and is mildly hyperintense on T2-weighted imaging and is suspicious for a new focus of hepatocellular carcinoma. Hypervascular lesion in the left lateral segment of the liver represents a small portal venous to hepatic venous shunt.Status post cholecystectomy with the common bile duct measuring 12 mm.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left kidney has a small hemorrhagic focus.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings a new right hepatic lobe 1.7 cm lesion with imaging features compatible with a small hepatocellular carcinoma.3 ablation cavities in both lobes remain relatively stable.