49-year-old male. Status post RFA. Assess for HCC recurrence. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology with fatty infiltration.Portal vein: Patent Hepatic veins: PatentHepatic artery: PatentLesions: 1. Ablation cavity measures 3.6 x 3.7 cm, previously 3.4 x 3.6 cm. No internal enhancement to indicate local recurrence.2. Two arterially enhancing, T2 hyperintense foci in the right hepatic lobe now show washout and have a capsule, consistent with HCC. 1.4 x 1.2 cm, previously 1.2 x 0.9 cm (series 9, image 22) and 1.5 x 1 cm (series 9, image 25), previously 1.1 x 0.9 cm.Cholecystectomy clips. No biliary ductal dilatation.SPLEEN: Mild splenomegaly with a large splenule. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Mildly enlarged stable portocaval and gastrohepatic lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Focal fat containing T2 hyperintense lesion in the left L2 vertebral body, unchanged.OTHER: No significant abnormality noted.
Previously noted two small lesions in the right hepatic lobe now have features consistent with HCC, mildly increased in size from prior.