History of hepatocellular carcinoma status post TACE RFA. ABDOMEN:LIVER, BILIARY TRACT: Cirrhosis with central fibrotic changes and iron deposition.Stigmata of portal hypertension including splenomegaly, gastroesophageal varices and recannulized periumbilical vein.No intrahepatic or extrahepatic biliary ductal dilatation.Several hepatic cysts.Stable segment 3 ablation cavity measuring 2.5 x 1.9 cm (series 10/60), compared to 2.6 x 1.6 cm previously and containing proteinaceous/hemorrhagic debris. No findings of a marginal recurrence.No new suspicious liver lesion.Cholelithiasis within a contracted gallbladder.SPLEEN: Splenomegaly, measuring 21 cm in craniocaudal dimension. No focal lesion.PANCREAS: Numerous T2 hyperintense foci within the pancreas appear to communicate with a normal caliber main pancreatic duct. The reference pancreatic body/tail lesion measures 1.4 x 1.0 cm (series 7/35), essentially unchanged. No suspicious postcontrast features.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several punctate left renal simple cysts. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace right pleural effusion with adjacent compressive atelectasis. Right lower lobe subpleural nodule is not significant change compared to 11/19/2015 CT.
1.Stable examination including segment 3 ablation cavity without evidence of marginal recurrence or new suspicious liver lesion.2.Cirrhosis with stigmata of portal hypertension.3.Numerous cystic pancreatic lesions are not significantly changed in size or number without suspicious postcontrast enhancement, likely representing side branch IPMNs.4.Right lower lobe pulmonary nodule, better characterized on 11/19/2015 chest CT. 