Male 61 years old with HCV cirrhosis status post TACE/ RFA. Assess for liver lesions. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic pathology with reticular T2 hyperintensity consistent with fibrosis and multiple regenerative nodules.The segment 6 ablation cavity is unchanged in appearance with no evidence of recurrent or residual tumor.There is a new 11 x 11 mm lesion in hepatic segment 5 that demonstrates arterial enhancement and washout suspicious for hepatocellular carcinoma. Additional small enhancing foci in segment 5 are too small to characterize.Stable mild dilation of the common bile duct.SPLEEN: Marked splenomegaly and extensive perisplenic collateral vasculature are stable.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: No significant abnormality noted.
1.New segment 5 lesion is suspicious for hepatocellular carcinoma.2.Stable appearance of the segment 6 ablation cavity.3.Stable splenomegaly, perisplenic collateral vessels and mild common bile duct dilatation.