71 years, Male, Reason: evaluate for HCC History: cirrhosis with rising AFP. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology with recanalization of the umbilical vein.Enhancing right segment 8 lesion with associated increased T2 signal and equivocal washout appears slightly increased in size measuring 3.1 x 1.8 cm, previously 2.7 x 1.7 cm, and now contains a low intensity focus. There are two additional enhancing lesions without enhancement which appears slightly more prominent. Two well-circumscribed segment 7 lesions with intrinsic T1 shortening and without significant enhancement are stable may represent dysplastic nodules.SPLEEN: Splenomegaly.PANCREAS: Cystic lesion in the pancreatic head is slightly decreased in size measuring 1.3 x 1.3 cm (3/99), previously 1.5 x 1.3 cm. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing left renal cyst with a thin septation is unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small periumbilical hernia containing a recannulized periumbilical vein is unchanged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Arterially enhancing segment 8 lesion with equivocal washout appears slightly increased in size suspicious for hepatocellular carcinoma. Two adjacent enhancing lesions may represent additional foci of hepatocellular carcinoma.2.Segment 7 lesions seen on prior exams with intrinsic T1 shortening may represent dysplastic nodules.3.Stable cystic lesion in the pancreatic head.