History of chronic hepatitis C. Evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with multiple regenerative nodules and reticular T2-hyperintensity consistent with fibrosis. 3.1 x 3.2 cm late arterial enhancing segment 6 lesion (series 1002/397) demonstrating washout and capsule on portal venous and delayed phase imaging.Additional punctate arterial enhancing foci are noted including segment 8 (series 1002/572) without definite washout which may represent perfusional anomalies.Stigmata of portal hypertension including extensive perisplenic collateral vessels and splenomegaly.SPLEEN: Marked splenomegaly measuring 17.4 cm in the craniocaudal dimension. Splenorenal shunt.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: Mild dependent atelectasis.OTHER: No significant abnormality noted.
1.3.2 cm segment 6 lesion meeting imaging criteria for hepatocellular carcinoma. No additional lesion meeting imaging criteria for HCC.2.Cirrhosis with multiple regenerative nodules and fibrosis.3.Splenomegaly and parasplenic collateral vessel formation.