Reason: hcc History: hcc. Status post radial embolization 12/1/2015. ABDOMEN:LIVER, BILIARY TRACT: Enhancing lesion in the right hepatic lobe measures 7.7 x 6.2 cm, grossly similar in overall size to the prior CT but significantly decreased from the prior MRI. However, the enhancing portion of the lesion has increased from the prior CT measuring 6.1 x 6.1 cm (11/68), previously 4.3 x 4.8 cm.An adjacent satellite lesion in the hepatic dome is also increased in size since the prior CT measuring 1.7 cm, previously 1.3 cm. A peripheral satellite nodule is slightly increased in size as well.Additional punctate enhancing subcentimeter lesions on the arterial phase without washout may be perfusional.Portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal hypodensities, likely cysts.RETROPERITONEUM, LYMPH NODES: Mildly ectatic infrarenal abdominal aorta is unchanged.BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 5/24/2016 11:58:00)RIGHT LOBE MASS: 6.2 x 7.7 cm (Image 73, Series 11); 7.7 x 6.4 cm on prior (4/13/2016) (Image 24, Series 9).ADJACENT SATELLITE NODULE: 1.3 x 1.1 cm (Image 76, Series 11); 1.2 cm on prior (4/13/2016) (Image 40, Series 11).ENHANCING PORTION OF HEPATIC MASS: 6.1 x 6.1 cm (Image 68, Series 11); 4.8 x 4.3 cm on prior (4/13/2016) (Image 28, Series 9).
1.Right hepatic lobe mass is decreased in size from pretreatment MRI, however there is been an increase size in the enhancing portion of the lesion compared to the more recent posttreatment CT of 4/13/2016.2.Satellite lesions have increased in size from both the prior MRI and recent CT.