Reason: eval liver lesion masses HCC, compare MRI 2/11/16, coronary calcification, vessel patency History: cirrhosis, HCV, HCC ABDOMEN:LIVER, BILIARY TRACT:Cirrhotic liver contour.A segment 8/4A lesion measures 13 x 7 mm, unchanged from the prior exam. This lesion has low T2 signal and does not restricted diffusion-weighted images. Arterial enhancement is not observed on the study, however there is washout and suggestion of a capsule on delayed images.2 additional segment 7/8 lesions which are hyperintense on arterial phase but not seen on additional phases are likely perfusional.Cholelithiasis and sludge without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left lower pole subcentimeter T2 hyperintensity, likely a cyst.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.
1.Segment 8/4a lesion is stable in size. 2.Additional arterial enhancing lesions are likely perfusional.3.Pancreatic divisum.