58-year-old female with HCC, cirrhosis, portal vein thrombus. Evaluate liver lesions, masses, HCC screen, vessel patency. Status post TACE/RFA, coronary calcifications. ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic morphology of the liver. Diffuse low T2 signal intensity compatible with hemosiderin deposition. Hazy increased T2 signal of the hepatic hilum is unchanged and compatible with reticular fibrosis.The known ablation cavity of the hepatic dome measures 2 x 1.6 cm and again demonstrates peripheral T1 precontrast hyperintense signal (series 14 image 81). The cavity has slightly decreased in size (prior 2.2 x 2.2 cm). No associated abnormal enhancement is seen to suggest recurrent/residual tumor. No new arterially enhancing lesions are identified.Portal vein is patent and again noted to be attenuated in size.The gallbladder is mildly distended, and there is a stable large gallstone.SPLEEN: Splenomegaly measuring 17.8 cm in length. Large perisplenic varices are again noted including a prominent splenorenal shunt.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace perihepatic ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Stable small right pericardial cyst.
1.Ablation cavity of the hepatic dome has slightly decreased in size. No evidence of residual or recurrent disease.2.Cirrhotic morphology with sequelae of portal hypertension including splenomegaly and prominent perisplenic varices and a splenorenal shunt. Trace perihepatic ascites. Stable attenuated portal vein.3.Stable large gallstone.