77-year-old male patient with HCC, status post resection. Evaluate for evidence of disease progression. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a right hepatic segmentectomy. There are at least four lesions within the liver in segment 5/8 (image 43, series 10), segment 4 (image 30, series 10), segment 6/7 (image 44, series 10), and segment 6 (image 64, series 10) which demonstrate mildly hyperintense T2 signal, arterial enhancement, and washout; these are suspicious for hepatocellular carcinoma. The segment 6 lesion measures 1.2 x 1.1 cm (image 64, series 10). Comparison to the prior studies is limited secondary to poor arterial timing on those studies, however, many of these lesions are present on T2 weighted and diffusion weighted imaging on the 5/26/2016 study. Some of these lesions are new from the 2/9/2016 MRI. Multiple other small foci of arterial enhancement without definitive washout are indeterminate. The portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.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.
At least four hepatic lesions with imaging features suspicious for hepatocellular carcinoma. Additional hepatic subcentimeter arterially enhancing foci are indeterminate.