History of 2 liver lesions. History of cirrhosis. The study is slightly limited due to metal artifact obscuring portions of the left hepatic lobe.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with particular T2-weighted signal intensity compatible with fibrosis. Recanalized umbilical vein.1.4 x 1.3 cm arterial enhancing focus in the inferior aspect of the right hepatic lobe (series 9/23) has no associated washout. There is mild associated restricted diffusion and mild T2 weighted hyperintensity. The lesion bulges the capsule.Stable nonspecific arterial enhancing segment 8 subcentimeter focus (series 9/52) without washout. Additional punctate arterial enhancing foci without wash-out, likely representing perfusional abnormalities.No suspicious arterial enhancing lesion is identified.Trace perihepatic fluid. Contracted gallbladder with gallbladder wall thickening is nonspecific in the setting of portal hypertension and chronic liver disease.No biliary ductal dilatation.SPLEEN: The spleen measures 14 cm in craniocaudal dimension without a focal lesion. Sequela of a small splenic infarct.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing cysts. Left proteinaceous/hemorrhagic cyst. No hydroureteronephrosis. Mild cortical scarring.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace left pleural effusion.
1.Cirrhotic liver with fibrosis. Stable arterial enhancing 1.4 lesion in segment 5 with associated T2-weighted hyperintensity and restricted diffusion. The lesion does not meet specific imaging criteria for HCC. Stable non-specific segment 8 arterial enhancing lesion. No new suspicious lesions.2.Mild splenomegaly, trace perihepatic ascites and recanalized umbilical vein.