63-year-old male with HCC, status post RFA, increasing AFP. Assess for liver lesions. ABDOMEN:LIVER, BILIARY TRACT: The ablation cavity of the hepatic dome measures 5.7 x 5.5 cm (series 9 image 188), and surrounding T1 hyperintense foci could represent residual blood products. Stable wedge-shaped ablation cavity in hepatic segment 2/3. There are multiple small arterially enhancing foci in the posterior and inferior right hepatic lobe that demonstrate subtle washout and thin peripheral enhancement versus pseudocapsule formation (series 9 images 140, 148, 164, 169).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Enlarged periportal lymph nodes are unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.There are multiple small arterially enhancing foci in the posterior and inferior right hepatic lobe that demonstrate central washout and thin continuous peripheral enhancement/pseudocapsule formation. These findings are concerning for multifocal HCC/metastases.2.Stable ablation cavities in the hepatic dome and segment 2/3. 