56-year-old female with HCV cirrhosis. HCC follow-up after surgical resection. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Postsurgical changes of a hepatic segment 5 resection. The resection cavity has decreased in size currently measuring 2.4 x 1.9 cm (series 804 image 235) compared to the prior measurement of 3.1 x 2.3 cm. No abnormal enhancement is identified. A decreased extent of restricted diffusion is also noted.In hepatic segment 3, there is a 1.3 x 1.1 cm nonenhancing lesion (series 805 image 216). In retrospect, this lesion shows no significant interval change compared to the 12/18/2013 CT exam.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: Marked stenosis/occlusion of the proximal celiac trunk (series 803 image 214) with collateralization is again noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post surgical changes of a hepatic segment 5 resection. Decreased size of resection cavity and no evidence of local recurrence.2.Nonenhancing segment 3 lesion is nonspecific and not significantly changed from the 2013 CT exam.