66-year-old man with cirrhosis, please evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with nodular contour, prominent hepatic fissures, and mild caudate hypertrophy. Increased reticular T2 signal is seen in the right lobe of the liver (series 4, image 12) with retention of contrast suggestive of fibrosis. A number of wedge-shaped areas of arterial enhancement are seen without washout on delayed images, likely perfusion abnormalities. A T2 hyperintense focus adjacent to the gallbladder is again noted, probably a benign cyst.The gallbladder appears normal.SPLEEN: The spleen appears normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys appear normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Numerous perigastric varices are noted. The visualized small bowel and colon are unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic morphology of liver without suspicious focal hepatic lesion.