63-year-old male with history of cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Mild perihepatic ascites. No intra or extra hepatic biliary ductal dilatation. Cholelithiasis. Patent vasculature.Segment 7 intrinsic T1 hyperintense/T2 hyperintense lesion with postcontrast enhancement with washout measures 3.3 x 3.3 cm (image 68 of series 1100).Right hepatic dome lesion is not well-visualized on today's study.Additional T2 hypointense nodules are present scattered diffusely throughout the liver parenchyma.SPLEEN: Splenomegaly.PANCREAS: Pancreatic body cystic lesion without enhancement measuring 1.7 x 1.4 cm (image 23 of series 4). 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: Trace right pleural effusion.
1. Cirrhosis with extensive fibrosis. Small volume perihepatic ascites.2. Enhancing segment 7 lesion with probable washout concerning for HCC has not significantly changed in size.3. Stable pancreatic body cystic lesion, likely an IPMN.