53 years, Male, Reason: cirrhosis. rising AFP. evaluate for liver lesion History: rising AFP. ABDOMEN:LUNG BASES: Moderate left pleural effusion is new.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Multiple nonenhancing cysts are unchanged.There are two enhancing lesions in segment 8 which washout on delayed phase imaging measuring 1.2 cm (802/262) and 1.1 cm (802/297), consistent with hepatocellular carcinoma.Re-cannulization of the umbilical vein.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Enlarged portacaval node measuring 2.0 x 1.1 cm (701/308).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Left posterior eighth and ninth rib fractures with decreased size of adjacent fluidOTHER: Large amount of increased ascites.
1.Two enhancing lesions with washout in segment 8, consistent with hepatocellular carcinoma.2.Large amount of ascites is increased.3.Cirrhotic liver morphology with enlarged portacaval nodes.4.New small left pleural effusion.