72-year-old female with HCV cirrhosis status post TACE/RFA of HCC. Evaluate for recurrence ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic hepatic morphology. Posttreatment changes from segment 5 TACE/RFA without residual arterial nodular enhancement or washout. Again noted is rim enhancement ablation cavity consistent with hyperemia.Unchanged segment 6 hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: Unchanged T2 hyperintense lesion within the uncinate process of the pancreas, likely a side branch IPMN and measures 9 x 8 mm. No evidence of pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly prominent retroperitoneal lymph nodes are again noted, stable.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post procedure changes of ablation of segment 5 HCC without measurable arterial enhancement or washout to suggest recurrent or residual tumor.2.Cirrhotic liver morphology.