55-year-old male with history of alcoholic cirrhosis. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Severe cirrhotic liver morphology. There is a tiny focus of T2 hyperintensity with arterial enhancement although no convincing washout located within segment 8 measuring 10 x 8 mm (image 70 of series 100). No other suspicious lesions identified.SPLEEN: Multiple tiny hypointense nodules representing siderotic nodules.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing left renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large volume abdominopelvic ascites. Gastroesophageal varices.
Subcentimeter segment 8 focus of hyperenhancement without washout may be perfusional in etiology or represent early HCC. Continued close followup is recommended. Large abdominopelvic ascites.