75-year-old male with HCV. CT abdomen in August with hepatic lesions with enhancement without washout. Follow-up imaging to evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology related to widening of the fissures. The portal and hepatic veins are patent. No intra or extrahepatic biliary ductal dilatation.Subcentimeter T2 hyperintense focus in hepatic segment 2 (series 9 image 14) with arterial and venous phase enhancement and no washout (series 13 images 65, 170, 273) is unchanged compared to the 11/3/2009 CT exam. Scattered punctate arterially enhancing foci without washout are again seen and compatible with perfusional variants. No suspicious lesions with washout are identified. SPLEEN: No significant abnormality noted. Small splenule.PANCREAS: Mild loss of the normal bright T1 precontrast signal intensity is noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Subcentimeter enhancing focus of hepatic segment 2 is unchanged in appearance compared to the 11/3/2009 CT exam, consider flash filling hemangioma.2.No suspicious hepatic lesions with washout are identified. Scattered punctate arterially enhancing foci without washout are most compatible with perfusional anomalies.3.Mild cirrhotic morphology.