History of hepatitis C cirrhosis and hepatocellular carcinoma. Surveillance examination. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of liver with a nodular surface contour.Immediately adjacent to the segment 2/3 ablation cavity there is a 1.6 x 1.3 cm lesion with restricted diffusion, as increased T2 signal, demonstrates early arterial enhancement as well as venous washout compatible with hepatocellular carcinoma.There are multiple patchy wedge-shaped areas of transient hepatic intensity difference on the arterial phase postcontrast images, however none of these areas show early washout to suggest hepatocellular carcinoma.The portal vein, hepatic veins, and hepatic artery are patent.No ascites. Numerous gastric and esophageal varices appearing similar to prior.Cholelithiasis. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is surgically absent.PANCREAS: Status post distal pancreatectomy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged simple cyst in the lower pole of the right kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Tortuous but nondilated abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.1.6 cm hepatocellular carcinoma immediately adjacent to the segment 2/3 ablation cavity.2.Prominent gastric and esophageal varices. Similar to prior.