Male 49 years old Reason: 3 cm dysplastic nodule in liver, followup, R flank pain History: HCV cirrhosis, 3 cm nodule. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates cirrhotic morphology with widening of the hepatic fissures and nodularity of the hepatic contour. There is no intra or extrahepatic biliary ductal dilatation. Patent hepatic vasculature.Again seen is an intrinsically T1 hyperintense 2.9 x 2.1 cm lesion in segment 8, previously measuring 3.2 x 2.4 cm. There is no arterial enhancement or washout. There is no diffusion restriction. The appearance is not significantly changed compared to prior study and likely represents a dysplastic or regenerative nodule.SPLEEN: Splenomegaly measuring 16.4 cm. Multiple prominent vessels centrally within the spleen which may represent a vascular malformation. The appearance is not significantly changed compared to prior study.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Scattered prominent portacaval lymph nodes which can be seen in the setting of cirrhosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Cirrhotic liver morphology with stable splenomegaly.2.Stable appearance of a segment 8 liver lesion which likely represents a dysplastic or regenerative nodule. Continued follow-up is recommended.