60-year-old female with history of HCC status post TACE of a segment eight lesion (2011) ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with hypertrophy of the left lobe liver and fissural prominence. There is an ablation cavity in hepatic segment eight. There is a nonspecific small focus of arterial blush with indistinct margins measuring 0.7 x 1.0 cm adjacent to but separate from the resection cavity. No appreciable washout is evident. Delayed post contrast sequence demonstrates peripheral, continuous thin rim of enhancement around the ablation cavity with associated low T1 and mild T2 signal compatible with fibrosis/scarring. Nodular focus along the posterior aspect of the the ablation cavity (series 8, image 31) without associated arterial enhancement is favored to represent scarring but merits attention at follow up imaging.. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged cyst in the interpolar left kidney.RETROPERITONEUM, LYMPH NODES: Unchanged prominent periportal lymph nodes. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace bilateral pleural effusions.
1.Nonspecific faint blush of arterial enhancement adjacent but separate from the ablation cavity as described above. This finding merits a follow-up in 6 months. 