Reason: know hx of liver mass, HCC? History: cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. Diffuse infiltrative slightly T2 hyperintense, T1hyperintense lesions within both lobes of the liver with restricted diffusion. Some areas demonstrate early arterial enhancement and some areas demonstrate no enhancement possibly due to necrosis. The proximal left and right anterior portal veins and distal main portal vein are not visualized likely due to tumor thrombus. Findings suspicious for diffuse hepatocellular carcinoma.SPLEEN: Splenomegaly with the spleen measuring 19.5 cm in craniocaudal dimension.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Enlarged portal hepatitis lymph nodes. BOWEL, MESENTERY: Esophageal varices.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate amount of ascites.
Cirrhotic morphology with portal hypertension. Findings suspicious for diffuse bilobar hepatocellular carcinoma with distal main portal vein and proximal left and right anterior portal vein tumor thrombosis. 