Hepatitis C cirrhosis. Screening. Status post partial left nephrectomy in 2011 for clear cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No suspicious hepatic lesion is identified. Layering cholelithiasis, without evidence of cholecystitis. No intra or extrahepatic biliary ductal dilatation is identified. Multiple small enhancing arterial foci (series 1003, image 78), without washout on delayed imaging, compatible with perfusion abnormalities, unchanged from prior.SPLEEN: Splenomegaly measuring 13.1 cm in the coronal plane.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post partial left nephrectomy. No discrete mass or area of abnormal enhancement. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Borderline enlarged retroperitoneal adenopathy measures 1.2 x 1.0 cm (series 1003, image 263), similar to prior.BOWEL, MESENTERY: Periumbilical hernia with adjacent fluid collection measuring 3.3 x 2.4 cm, unchanged. No evidence of bowel obstruction. Trace ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Gynecomastia.
1.Cirrhotic liver, without evidence of hepatocellular carcinoma. 2.Status post partial left nephrectomy, without evidence of recurrent disease. 3.Borderline retroperitoneal adenopathy, similar to prior.4.Mild ascites. 5.Cholelithiasis, without evidence of cholecystitis.