62-year-old female with history of hypodense segment 5 lesion seen on previous CT. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology including hypertrophy of the left hepatic and caudate lobes as well as fissural prominence. In segment 5, there is a lesion corresponding to the prior CT findings measuring 12 x 10 mm demonstrating high T2/low T1 signal abnormality which avidly enhances on arterial phase imaging and demonstrates rapid washout. There is signal dropout on out of phase series suggesting microscopic fat. Additionally, there is signal dropout on fat suppression imaging indicating macroscopic fat. No associated diffusion abnormalities. No discrete capsule.Right hepatic dome granuloma.Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
Cirrhotic liver morphology. Segment 5 lesion with rapid enhancement and washout, which in presence of cirrhosis and hepatitis C, is most compatible with a fat-containing HCC.Findings discussed with Dr. Reddy at 1500 on 2/16/16.