61-year-old male with history of HCV cirrhosis with HCC. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular liver contour compatible with cirrhosis. Segment 8/4a lesion measures 1.3 x 0.8 cm and demonstrates low T2 signal abnormality, no restricted diffusion, although rapid enhancement and washout.There are 3 additional subcentimeter segment 7/8 lesions which demonstrate abrupt enhancement which follows blood pool on delayed imaging.Cholelithiasis. Prominent periportal nodes.SPLEEN: No significant abnormality notedPANCREAS: Pancreas divisum.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. Segment 8/4a lesion with imaging characteristics compatible with HCC which is stable in size compared to prior when accounting for the change in imaging modalities.2. Indeterminant segment 7/8 lesions are likely perfusional in etiology, however followup is recommended.3. Pancreas divisum.