Chronic hepatitis C. Mass seen on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: Mildly nodular heterogeneous liver morphology suggestive of chronic liver disease.1.2 x 1.1 cm mildly T2 hyperintense lesion in segment 3 (series 8/24) demonstrating restricted diffusion (series 501/26) and mild thin peripheral/rim enhancement. No definite arterial enhancement or intracellular fat.No additional focal lesion. Mild prominence of the common bile duct which tapers smoothly without a focal lesion. Cholelithiasis without cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Mild prominence of the main pancreatic duct which tapers smoothly without a focal lesion. No significant pancreatic parenchymal atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Large hiatal hernia or pull-through.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Right sided pleural effusion appears loculated.
1.1.2 cm segment 3 lesion demonstrating restricted diffusion and rim enhancement does not meet AASLD criteria for HCC, however remains suspicious. Biopsy should be considered or liver protocol CT if not amenable to biopsy. 2.Loculated right-sided pleural effusion. Consider dedicated chest CT as clinically indicated. 