68-year-old female. Cirrhosis, complex liver cyst, elevated CEA 19-9. Evaluate for HCC. Evaluate complex cyst seen on ultrasound. Evaluate pancreas for lesions. ABDOMEN:LIVER, BILIARY TRACT: 1 cm right hepatic lobe cyst with a thin septation, unchanged from 2012, most likely a benign cyst. No suspicious hepatic mass. Smooth contour of the liver. Edematous diffuse wall thickening of a collapsed gallbladder, which can be due to chronic liver disease. No biliary ductal dilatation.Perigastric and esophageal varices. Enlarged T10 portal vein. Patent hepatic veins and hepatic artery.SPLEEN: Mild splenomegaly measuring 13.7 cm.PANCREAS: Normal signal intensity and morphology the pancreas. No pancreatic ductal dilatation. No suspicious pancreatic mass is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild cortical atrophy of the left kidney.RETROPERITONEUM, LYMPH NODES: Mild atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small Tarlov cysts in the upper sacrum. Mild degenerative changes in the thoracolumbar spine. Multiple T2 hyperintense foci scattered in the spine, likely focal fat or hemangiomas.OTHER: No significant abnormality noted.
1.No suspicious hepatic mass. 1 cm cystic lesion in the right hepatic lobe with a thin septation, most likely a benign cyst given stability from 2012.2.No suspicious pancreatic mass is identified.