73-year-old female with HCV cirrhosis, hepatic lesion. Evaluate for HCC. Reevaluate nonspecific subcentimeter hepatic lesion noted on last CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology with evidence of portal hypertension including mild splenomegaly, esophageal varices, splenorenal shunt, and recanalization of the umbilical vein. The portal veins are patent. No intra or extrahepatic ductal dilatation. The previously described arterially enhancing subcentimeter focus in hepatic segment 7 demonstrates mild apparent restricted diffusion (series 4 images 11, 45), no significant corresponding T2 signal abnormality, arterial enhancement (series 10008 image 31), and no washout. In retrospect, similar arterial enhancement in this region was present on the 6/8/2015 MRI abdomen exam (prior MRI series 10 image 30).SPLEEN: Mild splenomegaly measuring 12 cm in length. Subcentimeter T2 hyperintense foci compatible with cysts.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: No ascites.BONES, SOFT TISSUES: T2 hyperintense fat-containing lesion of the T12 vertebral body is unchanged and likely represents a benign osseous hemangioma.OTHER: No significant abnormality noted.
1.Cirrhotic morphology with evidence of portal hypertension.2.The previously described subcentimeter arterially enhancing focus in hepatic segment 7 is again seen, shows mild apparent restricted diffusion, no washout, and no corresponding T2 signal abnormality. In retrospect, similar arterial enhancement in this region was present on the 6/8/2015 MRI abdomen exam. An early stage small HCC cannot be excluded, and continued surveillance imaging is recommended.