64-year-old female patient with HCV, cirrhosis. Two subcentimeter lesions noted on MRI from 5/2016. Evaluate for change in lesions. ABDOMEN:LIVER, BILIARY TRACT: There is a cirrhotic morphology of the liver. No intra or extrahepatic biliary ductal dilatation. There is mild paradoxical shift of signal on in and out of phase imaging suggesting iron deposition. The hepatic vasculature is patent with the suggestion of a left arterioportal fistula as seen on a prior CT.Previously described new hyperintense T2 lesions are no longer demonstrated. Several punctate and peripheral wedge-shaped foci of arterial enhancement without washout or associated signal abnormality are otherwise unchanged and are likely perfusional in etiology. There is no arterially enhancing lesion with imaging features suspicious for hepatocellular carcinoma.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are small left renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Previously demonstrated new T2 hyperintense lesions are no longer demonstrated.2.Cirrhotic morphology of the liver without suspicious lesion suggestive of hepatocellular carcinoma. Multiple arterially enhancing foci without washout are likely perfusional in etiology, however, continued attention should be paid on subsequent imaging.