Reason: liver mass history of hep c and b History: liver mass history of hep c and b ABDOMEN:LIVER, BILIARY TRACT: Adjacent to the gallbladder in the periphery of the right lobe of the liver is a 1.2 cm T2 hyperintense nonenhancing lesion most compatible with a cyst.A punctate foci of arterial enhancement with no demonstrable washout are noted, likely representing perfusional anomalies, but attention on subsequent follow-up imaging is suggested. (1301:60).A 1.1 x 1.1 cm arterially enhancing lesion with washout (1304:81 and 1301:72) along the first bifurcation of the anterior right hepatic vein (not the accessory hepatic vein, which is present and an anatomic variant) is suspicious for HCC given history of hepatitis C. This measured ratio versus super several HCC accessory: Back the same size compared to prior outside MRI (7:31)No new suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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.OTHER: No significant abnormality noted.
1.1.1 cm right hepatic lesion as described above most compatible with HCC. Stable from most recent outside institution examination. No new suspicious lesions. Attention to foci of arterial enhancement without washout as described above is recommended on subsequent surveillance imaging.