History of HCV cirrhosis, HCC screening. ABDOMEN:LIVER, BILIARY TRACT: There is minimal enlargement of the caudate and left hepatic lobes as well as minimal nodular contour of the liver, suggestive of early cirrhosis.The liver demonstrates normal background parenchymal signal intensity and enhancement. The is redemonstration of T2 hyperintense lesions within hepatic segments 2 and 6, not significantly changed with reference measurements as below. The lesions demonstrate progressive filling in on more delayed images and most likely represent benign hemangiomas. There are couple peripheral areas of arterial enhancement within hepatic segment 7 without washout on more delayed images compatible with transient hepatic intensity differences. No suspicious focal hepatic lesions are identified.Status post cholecystectomy, metallic clips from which causes susceptibility artifact which somewhat obscures surrounding structures. There is mild intra and extra hepatic biliary ductal dilatation. The common bile duct measures up to 10 mm in diameter, slightly increased from prior. No bile duct stones or high-grade stenoses are identified.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal background parenchymal signal intensity and enhancement. There are several subcentimeter T2 hyperintense lesions within the pancreas which appear grossly similar to prior when accounting for differences in technique. The largest is in the uncinate process with reference measurements below.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.INDEX LESION MEASUREMENTS (Current exam date/time: 9/19/2016 13:00:00)HEPATIC SEGMENT 6 LESION: 1.1 x 0.6 cm (Image 14, Series 401); 1.1 x 0.7 cm on prior (8/19/2014) (Image 7, Series 5).HEPATIC SEGMENT 2 LESION: 1.1 x 0.9 cm (Image 33, Series 401); 1.1 x 0.9 cm on prior (8/19/2014) (Image 20, Series 5).PANCREAS UNCINATE PROCESS CYSTIC LESION: 0.4 cm (Image 10, Series 401); 0.4 cm on prior (8/19/2014) (Image 6, Series 5).
1.Mild cirrhotic liver morphology.2.Unchanged segment 2 and 6 hepatic lesion compatible with hemangiomas. No suspicious focal hepatic lesions are identified.3.Several subcentimeter cystic structures within the pancreas which most likely represent side branch IPMNs and can be followed on subsequent examinations.4.Status post cholecystectomy with associated mild dilation of the common bile duct.