66-year-old female with HCV cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Marked intrahepatic and extrahepatic biliary ductal dilatation. The common bile duct measures up to 12 mm. Status post cholecystectomy.Unchanged T2 hyperintense lesions in hepatic segment five, seven, eight.Arterially enhancing subcentimeter focus in segment eight without definitive washout is not convincing for HCC (series 10, image 15).SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: 5 mm T2 hyperintense cyst in the superior pole of the left kidney likely reflects a benign cyst.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.
1.Arterially enhancing segment eight subcentimeter focus without definitive washout is not convincing for HCC. Attention on subsequent studies can be given.2.Additional indeterminate nonenhancing T2 hyperintense lesions as described above.3.Pancreatic divisum.4.CBD dilation measuring up to 12 mm without choledocholithiasis. No obstructing lesion is evident. Ampullary stenosis cannot be excluded.