History of cirrhosis. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The previously described segment 4 lesion measures approximately 9 x 7 mm (series 15/34) previously 12 x 10 mm. It demonstrates central washout on delayed phase images but no appreciable enhancement. No associated T2-weighted or restricted diffusion. It does demonstrate signal loss on out of phase images suggesting intracellular fat.No other new or suspicious hepatic lesions. The hepatic vasculature is patent. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.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 significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Minimal decrease in size of the nonspecific segment 4 lesion as described above. No new suspicious hepatic lesion.