58-year-old male with alcoholic cirrhosis who presents for hepatocellular carcinoma screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology and evidence of hepatic steatosis. There are multiple T2 hyperintense subcentimeter foci without evidence of contrast enhancement, compatible with simple cysts. On the arterial phase, there are scattered vague subcentimeter enhancing lesions without definite corresponding washout, which may be perfusional in etiology.Sequela of portal hypertension including gastroesophageal varices noted.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: Multiple bilateral T2 hyperintense, T1 hypointense, nonenhancing lesions compatible with cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is thickening of the ascending colon compatible with portal colopathy. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic hepatic morphology without evidence of hepatocellular carcinoma. Scattered vague subcentimeter lesions noted on the arterial phase without washout may be perfusional in etiology.2.Multiple subcentimeter hepatic cysts.3.Bilateral renal cysts.