64 years, Male, Reason: Liver protocol, triple phase, follow up of liver nodules History: hep C cirrhosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. Peripheral hyperattenuation on arterial phase images, e.g., within segment 6, likely represents perfusion abnormality.Segment 7 lesion with intrinsic T1 shortening, no appreciable enhancement and washout on delayed phases is unchanged. This likely represents a dysplastic nodule and corresponds to the two identified lesions previously alluded to on the prior exam. A small adjacent foci of enhancement only seen on arterial phase images likely represents a perfusional abnormality.Additional lesions (10/38, 10/38, 10/65) which are high signal on T1 and do not enhance within segments 4A, 8 and 4B likely represent dysplastic nodules and are unchanged from the prior exam.SPLEEN: Mild splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.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.
Multiple nonenhancing lesions have signal characteristics suggestive of dysplastic nodules, these lesions do not meet strict criteria for HCC currently, are not significantly changed from the prior exam. Continued follow up is recommended.