History of hepatitis C and liver lesions. ABDOMEN:LIVER, BILIARY TRACT: Mildly prominent fissures and mild caudate and left hepatic lobe hypertrophy suggestive of chronic liver disease.In the right hepatic dome centrally there is a 5.1 x 3.0 x 4.3 cm heterogeneously T2 hyperintense well-defined lesion (series 9/38). 1.7 cm T2 hyperintense lesion in segment 4A (series 9/25). Poorly defined mildly T2 hyperintense lesion adjacent to the gallbladder fossa measuring 2.1 x 2.1 cm (series 9/23).These lesion demonstrate very gradual peripheral nodular enhancement with slow centripetal filling, suggestive of hemangiomas.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.Findings suggestive of mild chronic liver disease.2.Three discrete T2-weighted mildly to moderately hyperintense lesions do not meet imaging criteria for HCC. Rather, they appear to demonstrate very gradual peripheral nodular enhancement with slow centripetal filling, suggestive of atypical hyalinized and/or sclerosed hemangiomas. A tagged RBC scan or short interval 6-month follow-up imaging should be considered given the history of chronic liver disease.