54-year-old man with history of Budd-Chiari syndrome, evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. There is an enhancing focus in the caudate lobe measuring 9 x 9 mm (9/42), previously 10 x 10 mm. An additional, punctate focus of enhancement is also unchanged.Cholelithiasis without wall thickening or pericholecystic fluid.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: Partially visualized small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Arterially enhancing foci in the caudate lobe likely represent regenerative nodules and are unchanged.2.Cirrhotic liver compatible with given history of Budd-Chiari.