Female 58 years old with a history of hepatitis C cirrhosis. Assess left lobe liver lesion. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 24.6 cm in length and has a lobular contour. There are innumerable nodules throughout the liver that are slightly T1 hyperintense and T2 hypointense compatible with dysplastic nodules. No enhancing liver lesion is identified.SPLEEN: The spleen measures 17.9 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There a few bilateral subcentimeter T2 hyperintense, circumscribed, nonenhancing renal lesions consistent with simple cysts.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Heterogeneous liver with numerous regenerative nodules consistent with patient's history of cirrhosis. No definite lesions are noted enhancing at the arterial phase and washing out suspicious for hepatocellular carcinoma. Splenomegaly. Severe atherosclerotic disease.1. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.