71-year-old female with history of cirrhosis and HCC status post TACE RFA. Evaluate post procedural changes. ABDOMEN:LIVER, BILIARY TRACT: Nodular contour of the liver compatible with cirrhosis. Posttreatment changes from segment 5 radiofrequency ablation without residual arterial nodular enhancement or washout. There is rim enhancement of the ablation cavity consistent with hyperemia, not significantly changed. Interval decrease in the previously noted T1 hyperintensity within the ablation cavity consistent with evolution of blood products. Additionally, there is capsular retraction with small amount of perihepatic fluid overlying the ablation cavity, unchanged. Unchanged segment 6 hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: Unchanged T2 hyperintense lesion within the uncinate process of the pancreas, likely representing sidebranch type IPMN and measuring 9 x 8 mm. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly prominent retroperitoneal lymph nodes are stable.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post procedural changes of ablation of segment 5 suspected hepatocellular carcinoma without measurable arterial enhancement or washout to suggest recurrent or residual tumor.2.Cirrhotic liver morphology.