82-year-old male patient with HCC. Evaluate for interval change since prior MRI. ABDOMEN:LIVER, BILIARY TRACT: Fissure widening and nodular contour compatible with cirrhotic liver morphology. No biliary ductal dilatation. Multiple subcentimeter T2 hyperintense lesions in the liver parenchyma are too small to characterize and likely represent cysts. Trace perihepatic ascites.Again seen is a segment 4 ablation cavity with high T1 signal intensity. Posterolateral to the ablation cavity there is a peripherally enhancing lesion without central enhancement or washout on delayed images that measures 1.9 x 3.2 cm (series 9 image 26). This area previously demonstrated enhancement and washout and measured 1.0 x 1.8 cm. There is currently increased mass effect with attenuation of the middle hepatic vein.Scattered foci of arterial enhancement without washout are noted in the peripheral liver parenchyma, compatible with perfusion anomalies.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Stable right upper pole small wedge-shaped T2 hyperintensity.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval increase in size of lesion posterolateral to the segment 4 ablation cavity. This lesion now has increased mass effect on the middle hepatic vein and demonstrates persistent peripheral enhancement. Findings are suspicious for increasing size of marginal recurrence.2.Cirrhotic liver morphology.