61 year old male patient with HCV, cirrhosis, HCC lesion 1.2 cm, 8/4a lesion. Evaluate liver, lesions, HCC screen, vascular patency. ABDOMEN:LIVER, BILIARY TRACT: A segment 8/4a lesion measures 13 x 7 mm, unchanged from the prior study. This lesion demonstrates T2 hypointensity and no appreciable arterial enhancement, however, continues to washout on more delayed images. An arterially enhancing segment 7/8 lesion which does not wash out on more delayed imaging appears similar to the prior study. No new arterially enhancing hepatic lesion is identified. Cholelithiasis without evidence of cholecystitis. The portal vein is patent. SPLEEN: No significant abnormality noted.PANCREAS: There is pancreatic divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: A left lower pole subcentimeter T2 hyperintense lesion, likely a cyst, is unchanged. 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.Stable appearing segment 8/4a lesion. No new hepatic lesion is identified.2.Arterially enhancing segment 7/8 lesion without washout is unchanged and may be perfusional in etiology.3.Pancreatic divisum. 