73-year-old male with mixed cholangio-/HCC histology on chemotherapy for evaluation of response. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with trace ascites.Interval enlargement of a segment five liver lesion measuring 6.2 x 4.5 cm, previously 4.3 x 3.4 cm. Interval enlargement of a segment eight peripheral lesion with capsular retraction measuring 5.3 x 3.1 cm, previously 4.2 x 2.7 cm. There is a small amount of ascites overlying this lesion. There is a new arterially enhancing focus without definite washout in hepatic segment seven that is favored to represent a perfusion defect (series 10, image 17). Attention on subsequent imaging is suggested.There is some centimeter T2 hyperintense foci that are nonenhancing compatible with cysts, unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Interval enlargement of a porta hepatis lymph node measuring 4.6 x 2.5 cm, previously 3.1 x 2.0 cm. Additional prominent porta hepatis and gastrohepatic ligament lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval increase in size of segment eight and segment five lesions as detailed above. Increased porta hepatis lymphadenopathy.2.There is a new arterially enhancing focus in segment seven without definite washout favored to represent a perfusion defect. Attention on subsequent imaging is suggested.