Cirrhosis with history of HCC status post resection and RFA. ABDOMEN:LIVER, BILIARY TRACT: Relatively stable segment 6 ablation cavity measures approximately 5.8 x 5.7 cm, compared to 5.8 x 4.8 cm previously, and contains T1 weighted hyperintense proteinaceous/hemorrhagic debris.Relatively stable segment 5 ablation cavity measures approximately 3.9 x 3.7 cm (series 11/124), compared to 3.6 x 2.5 cm previously and contains T1 weighted hyperintense proteinaceous/hemorrhagic debris.No evidence of residual or recurrent disease along the ablation margin.The segment 8 arterial enhancing focus in the right hepatic dome measures approximately 1.1 x 0.8 cm (series 11/19) without evidence of washout on portal venous or delayed phase imaging. This may represent a perfusional anomaly. Attention to this lesion on subsequent surveillance imaging is recommended.Cirrhotic liver morphology with mild fibrotic changes. No intrahepatic or extrahepatic biliary ductal dilatation. The vessels are patent. Cholelithiasis without evidence of cholecystitis.SPLEEN: The spleen is normal in morphology without a focal lesion. The spleen measures 12 cm in craniocaudal dimension.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing renal cysts. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes at the level of the right-sided Spigelian hernia repair.OTHER: No significant abnormality noted.
1.Cirrhotic liver with relatively stable postablation zones without evidence of recurrent or residual marginal lesion.2.Stable enhancing focus in segment 8 is unchanged and may represent a perfusional anomaly, attention to this on subsequent surveillance imaging is recommended.