77-year-old female with hepatitis C cirrhosis. HCC, status post TACE RFA x2, follow-up exam. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Cholelithiasis without evidence for acute cholecystitis. No intra or extrahepatic biliary ductal dilatation. Patent vasculature. The segment 2/3 ablation cavity (series 11 image 125) has slightly decreased in size measuring 2.8 x 2.1 cm (prior 3 x 2.6 cm). No residual or recurrent enhancing lesion is identified. No new suspicious lesions with washout are seen.SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Stable small nonenhancing right lower pole renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Gastroesophageal varices again noted. Artifact related to air within a known duodenal diverticulum is unchanged (series 11 image 67). No ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Slightly decreased size of segment 2/3 ablation cavity without evidence for residual or recurrent disease.2.Cirrhotic morphology with stable gastroesophageal varices. No ascites.3.Status post splenectomy and distal pancreatectomy.