Female 76 years old Reason: HCC s/p TACE RFA, f/u History: HCV cirrhosis, HCC ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates fibrosis and cirrhotic morphology with nodular contour and prominence of the hepatic fissures. The ablation cavity in the left hepatic lobe has enlarged and contains central hemorrhage consistent with recent ablation. This measures 1.9 x 3.0 cm (16, image 29). No residual arterially enhancing focus is identified. No new foci of arterial enhancement or washout are identified.Patent hepatic vasculature.SPLEEN: Status post splenectomy.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing T2 hyperintensity at the lower pole of the right kidney consistent with renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Splenic vein occlusion. Multiple upper abdominal collateral vessels.
1.Status post TACE RFA. No residual arterial enhancement in this region. No new suspicious lesions identified.