65-year-old male with history of cirrhosis, HCC, status post TACE/RFA. Evaluate for liver lesions. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Extensive posttreatment changes of the segment 6 lesion without evidence of nodular hepatic arterially enhancing lesions to suggest recurrence or residual disease. There is intrinsic T1 hyperintensity within the cavity, likely related to posttreatment changes. Right posterior portal vein branch is diminutive, may be secondary to ablation. The previously noted 5 mm arterially enhancing lesion at the anteromedial aspect of the ablation cavity is not seen on the current examination. No other enhancing nodules identified.SPLEEN: Mild splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Paraesophageal varices are again noted.BOWEL, MESENTERY: Small fat-containing umbilical hernia. Degenerative changes of the spine.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with posttreatment change from the segment 6 lesion. No evidence of recurrent or residual disease.2.Mild splenomegaly and esophageal varices.