Cirrhosis, HCC ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Arterially enhancing lesion in segment 8 with washout measures 1.5 x 1.3 cm (series 12, image 29), unchanged. Unchanged left hepatic lobe T2 hyperintense focus without arterial enhancement or washout (series 3, image 19). Cholelithiasis. Common hepatic artery arises from the aorta; normal variant. Recanalized umbilical vein.SPLEEN: Splenomegaly.PANCREAS: Cystic lesion of the pancreatic head measures 1.4 x 1.0 cm (series 5, image 27), unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Unchanged arterially enhancing lesion in segment 8 compatible with HCC. No new lesions.2.Cystic lesion in the pancreatic head may represent a cystic neoplasm such as an IPMN. Consider MRCP at next follow up for further characterization.