77-year-old man with history of prior heavy EtOH and liver lesions seen on prior ultrasound. ABDOMEN:LIVER, BILIARY TRACT: There is a 20 x 20 mm lesion in segment 5/6 of the liver (series 1001, image 245) which is mildly T2 hyperintense, demonstrates mild diffusion restriction, avidly enhances in the arterial phase, and washes out relative to the liver. Additionally, this lesion has a periphery of delayed enhancement and there is mild capsular retraction.The background liver is normal in intensity but the hepatic fissure is mildly widened.The portal vein branches appear patent without evidence of mass or thrombus.Small gallstones are seen. There is no intra or extra hepatic biliary duct dilatation.SPLEEN: The spleen appears normal. An accessory splenule is noted.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: There is slight nodularity at the junction of the limbs of the left adrenal gland (series 601, image 22). The right adrenal gland is normal.KIDNEYS, URETERS: Bilateral renal cysts are identified.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Segment 5/6 lesion compatible with hepatocellular carcinoma with pseudocapsule. This finding was discussed with Dr. Cornel by phone at 9:45 on 10/26/2015.