46 years, Female, Reason: 46F with HCV and abnormal ultrasound. Cross sectional imaging to better evaluate History: HCV. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Large gallstone. Smaller subcentimeter left hepatic cyst.There is a lesion in segment 4a/b which measures 1.3 x 1.7 cm (11/260) and likely corresponds to lesion seen on ultrasound. This lesion is T2 isointense, does not enhance and washes out on delayed images. No loss of signal on out of phase images is evident to suggest focal steatosis. Overall these are indeterminate features.There is an additional lesion in segment 3 which is only seen on portal venous and delayed phase images where it is hypointense to the background liver and measures 1.4 x 1.2 cm (11/266), also with indeterminate features.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple right renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Two lesions are identified in the left hepatic lobe, one of which corresponds to lesion seen at ultrasound. Both of these lesions have indeterminate features as above and MRI follow-up is recommended.