Cirrhosis, evaluate for HCC ABDOMEN:LIVER, BILIARY TRACT: The liver has a cirrhotic morphology. 13 mm arterially enhancing lesion in segment VII without definitive washout on delayed phases. Trace ascites. CholelithiasisThe hepatic and portal veins are patent.SPLEEN: Splenomegaly with collateral vessels. 1 cm T2 hyperintense enhancing nodule in the spleen most consistent with a hemangioma.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.
Segment VII arterially enhancing lesion without washout is slightly increased in size compared to the prior exam possibly due to technical factors, but does not meet the criteria for HCC. Continued surveillance is recommended.