History of hepatocellular carcinoma status post TACE/RFA. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with extensive fibrosis.Stable segment 3 ablation cavity measuring approximately 2.5 x 1.9 cm (series 11/44), containing proteinaceous/hemorrhagic debris without evidence of marginal recurrent or residual disease.Stable hepatic cysts in the right hepatic lobe.Cholelithiasis within a contracted gallbladder. Trace perihepatic fluid. Recanalized periumbilical vein.SPLEEN: Splenomegaly measuring 22 cm in craniocaudal dimension. Trace perisplenic fluid.PANCREAS: There are numerous cystic pancreatic foci which appear to communicate with the main pancreatic duct, appearing similar to the prior study. Index proximal pancreatic tail cystic lesion measures 1.2 x 0.9 cm (series 5/32), compared to 1.4 x 1.0 cm previously. No suspicious post contrast features. The main pancreatic duct is mildly prominent in the distal body and tail, appearing similar to the prior study. No peripancreatic inflammatory changes. No solid pancreatic lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Punctate hyperintensities in both kidneys are too small to characterize, unchanged and likely benign cysts.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Gastroesophageal and retroperitoneal varices.BONES, SOFT TISSUES: Mild bilateral gynecomastia. Small volume right pleural effusion with adjacent mild consolidation/atelectasis, better characterized on prior chest CT. OTHER: No significant abnormality noted.
1.Stable examination including postablation changes of segment 3 without evidence of residual or recurrent disease. No new suspicious liver lesion.2.Cirrhotic liver with extensive fibrosis and stigmata of portal hypertension.3.Numerous cystic pancreatic lesions likely represent branch type IPMNs without suspicious imaging features, unchanged.