Liver lesion. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again in the lateral aspect of segment VIII is a focal area of capsular retraction with an adjacent geographic wedge-shaped area of T2 hyperintensity demonstrating delayed contrast enhancement measuring approximately 3.1 x 2.1 cm (series 11/30), compared to 3.9 x 2.3 cm previously. The previously seen lesion in the lateral aspect of segment VI (series 4 image 17) also appears decreased in size. No associated biliary dilatation.The segment II arterial enhancing lesion is not seen on today's study, likely reflecting a THID. Otherwise, the liver is normal in morphology, size, signal intensity and enhancement. No intra or extrahepatic biliary ductal dilatation. Patient is status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Nonspecific subcentimeter right cardiophrenic lymph node, measuring 7 mm in short axis (series 4 image 6).
1.Indeterminate segment 8 and 6 geographic lesions with associated capsular retraction and delayed enhancement appear smaller compared to the prior study.2.Stable nonspecific mildly enlarged right cardiophrenic lymph node.