Reason: HCC screening History: Cryptogenic cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Subcentimeter T2 hyperintense lesion in the right hepatic lobe is stable, likely a cyst. No suspicious hepatic lesions. Mild perihepatic ascites. Prominent common bile duct measuring up to 1.3 cm with mild intrahepatic biliary ductal dilatation, unchanged. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is nondilated. There are several punctate cystic lesions within the pancreas including uncinate (7/20), head (7/18), and body (7/17) which are unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintensities within the kidneys, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small left pleural effusion is increased. Small amount of pelvic ascites.
1.Limited exam given lack of intravenous contrast. Given this limitation, no suspicious hepatic lesions are identified.2.Punctate cysts within the pancreas are unchanged and likely represent side branch IPMN's.3.Small left pleural effusion, slightly increased since the prior exam.