Male; 81 years old. Reason: Assess for HCC recurrence History: increasing AFP ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Three ablation cavities are stable as detailed below. Stable superior right hepatic lobe cavity measuring 2.4 x 1.9 cm (series 903/358), previously 2.4 x 1.9 cm; no new suspicious enhancement.Stable inferior right hepatic lobe cavity measuring 3.2 x 1.8 cm (series 903/328), previously 3.2 x 1.8 cm; no new suspicious enhancement.Stable left hepatic lobe cavity measuring 2.2 x 1.8 cm (series 903/288), previously 2.2 x 1.8 cm; new mild, ill-defined enhancement is seen in segment 3 just posterior to this ablation cavity without washout or restricted diffusion (series 903/278). This is a nonspecific finding, and attention at follow-up is recommended.Stable small portal-hepatic shunt is in the anterior left hepatic lobe. No new focal hepatic lesions. Stable dilation of the common bile duct again measuring up to 1.3-cm. SPLEEN: No significant abnormality noted.PANCREAS: Stable mild pancreatic ductal dilation with a small side branch intraductal papillary mucinous neoplasm (series 601/16).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Scattered renal subcentimeter T2 hyperintense foci too small to characterize but most likely cysts, not significantly changed.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.
Stable size of three ablation cavities as detailed above with no new focal hepatic lesions. There is new mild, ill-defined enhancement in segment 3 just posterior to the left hepatic lobe ablation cavity, which is a nonspecific finding and for which attention at follow-up is recommended.