History of alcoholic cirrhosis. Segment 8 peripheral arterially enhancing lesion seen on the recent CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic nodular liver morphology with T2 hyperintense fibrotic changes with atrophy and capsular retraction. Recanalized periumbilical vein and mesenteric collateral vessels.Approximately 1.2 x 1.1 cm (series 9/61) peripheral segment 8 lesion near the right hepatic dome demonstrates arterial enhancement without washout, capsular formation, T2-weighted hyperintensity, intracellular fat or restricted diffusion.Additional subcentimeter segment 8 arterial enhancing lesion is too small to characterize (series 9/57).Attenuated right portal vein and its branches with small collaterals.Cholelithiasis without cholecystitis.SPLEEN: Borderline splenomegaly measuring 14 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing cysts and too small to characterize subcentimeter T2-weighted hyperintensities.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.Cirrhotic liver with extensive fibrosis and scarring.2.The right hepatic dome segment 8 lesion demonstrates arterial enhancement without washout. Although the lesion does not meet imaging criteria for HCC it remains worrisome and short interval follow-up is recommended.3.Portal hypertension. Chronic right portal vein thrombosis. Cholelithiasis without cholecystitis.