61-year-old male with HCV cirrhosis status post TACE RFA. Evaluate for obstruction ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with multiple regenerative nodules and reticular T2 hyperintensity consistent with fibrosis. No evidence of arterially enhancing and washing out lesions suggest hepatocellular carcinoma. The previously noted punctate arterial enhancing foci in segment 8 was likely perfusional anomaly and is no longer present. No evidence of recurrent or residual tumor in the segment 6 ablation cavity.Stigmata of portal hypertension including extensive perisplenic collateral vasculature and splenomegaly.There is mildly dilated common bile duct which smoothly tapers to the level of the ampulla without evidence of a lesion or stricture.SPLEEN: Marked splenomegaly with spleen measuring 17 cm in craniocaudal dimension. Splenorenal shunt is noted.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: No significant abnormality noted.OTHER: Small volume perihepatic ascites.
1.No evidence of recurrent or residual tumor in the segment 6 ablation cavity.2.Cirrhosis with multiple regenerative nodules and fibrosis; no arterially enhancing and washing out lesions to suggest HCC.3.Splenomegaly and perisplenic collateral vessel formation.4.Mildly dilated common bile duct which smoothly tapers to the level of the ampulla without evidence of a lesion or stricture.