58-year-old male with HCC, HCV, previous TACE/RFA. Evaluate liver lesion, masses, coronary calcification, vessel patency. ABDOMEN:LIVER, BILIARY TRACT: The known segment 8 ablation cavity measuring 4.5 x 3.4 cm in diameter contains precontrast T1 hyperintense signal (series 13 image 40), which could represent blood products versus proteinaceous material. No nodular enhancing focus of the ablation cavity. The portal and hepatic veins are patent.Posterior to the ablation cavity, there is a 1.1 x 0.7 cm precontrast T1 hypointense (series 13 image 40) lesion that demonstrates arterial enhancement and subtle delayed washout (series 14 images 41, 355) . This lesion also demonstrates T2 hyperintense signal (series 3 image 9) and no significant restricted diffusion. 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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A focal lesion of the T9 vertebral body demonstrates hyperintense signal intensity on the coronal T2 and axial fat-sensitive sequences most compatible with a benign osseous hemangioma (series 1300 image 15).OTHER: No significant abnormality noted.
Posterior to the segment 8 ablation cavity, there is a 1.1 x 0.7 cm lesion with imaging findings consistent with HCC.