History of multifocal hepatocellular carcinoma status post TACE RFA ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Post ablation cavity in segment 6 measuring approximately 3.7 x 1.7 cm (series 12/26). Best seen on arterial phase imaging is a 1.5 x 1.4 cm arterial enhancing lesion (series 11/34) along the caudal and medial aspect of the ablation cavity suspicious for residual and/or recurrent hepatocellular carcinoma.Post ablation cavity in segment 5 measuring approximately 3.5 x 2.3 cm (series 12/30). Thick arterial enhancing along the anterolateral aspect of the ablation cavity measuring approximately 1.8 x 1.1 cm (series 11/32).Post ablation cavity in segment 3 measuring approximately 2.2 x 0.8 cm (series 12/29). No evidence of marginal recurrent or residual disease.Stable punctate arterially enhancing focus in segment 8 measuring 0.9 x 0.7 cm (series 11/24).Stable porta hepatis lymph nodes.No intra or extrahepatic biliary ductal dilatation.Contracted gallbladder with nonspecific gallbladder wall thickening.SPLEEN: Splenomegaly measuring 17.9 cm in craniocaudal length with numerous cirrhotic nodules.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small splenorenal shunt.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable vertebral body enhancing punctate focus (series 11/50).OTHER: No significant abnormality noted.
1.Post ablation changes of the liver with arterial enhancing foci adjacent to segment 5 and segment 6 ablation cavities. The lesion adjacent to segment 6 ablation cavity has significantly increased in size.2.Stable nonspecific enhancing subcentimeter focus in segment 8.