Male; 68 years old. Reason: 1.4 cm HCC pre liver transplant for reassessment History: cirrhosis. LIVER, BILIARY TRACT:Mild nodular liver contour, fissural prominence, and caudate hypertrophy are compatible with cirrhosis. Reference segment 8 lesion demonstrates high T2 signal as well as arterial enhancement and washout and now measures 2.5 x 2.2 cm, previously 1.4 x 1.3 cm (series 5, image 16). The hepatic vasculature is patent, although it should be noted that the segment 8 lesion is near a right anterior portal venous branch and right hepatic venous branch. No new suspicious enhancing lesions. No biliary ductal dilatation or intraductal filling defect on MRCP images. Previously described gallstone is not evident on today's exam. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mildly atrophic kidneys bilaterally. No suspicious lesions or hydronephrosis. 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 morphology with interval increase in size of solitary segment 8 lesion which meets criteria for HCC.2.No new suspicious lesions or biliary ductal dilatation. 