Chronic hepatitis C. Cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour with prominent fissure, compatible with cirrhotic morphology. Within the hepatic dome, there is a T2 hyperintense lesion measuring 1.1 x 1.0 cm lesion (series 7, image 17), with contrast enhancement but no washout on delayed imaging. An additional lesion is identified within segment 7 (series 11, image 48) measures 1.1 x 0.9cm, is isointense on T2, enhances on arterial phase, with no washout on delayed imaging, probable perfusion defect.SPLEEN: There is mild splenomegaly. Splenic varices are present.PANCREAS: There is atrophy of the pancreas with dilatation of the main pancreatic duct measuring to 1.3 cm and side branch ectasia, unchanged from prior. There are multiple cysts within the pancreatic head and body, the largest measures 2.2 x 1.6 cm (series 7, image 27), which is similar in size to prior study but increased in size since April 2015. This lesion communicates with the main pancreatic duct, probably combined-type IPMN. There is a filling defect within this lesion on T2 imaging, that minimally enhances (series 11, image 109).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a large hiatal hernia. The bowel loops are otherwise normal in appearance. There is a small volume of perihepatic ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable T2 hyperintense hepatic dome lesion, without washout on delayed imaging, in a cirrhotic liver. This lesion remains suspicious for HCC. Follow-up recommended.2.Cystic lesion within the pancreas communicating with the main pancreatic duct is unchanged since recent MRI, but increased in size since April 2015, probably combined-type IPMN.3.Additional enhancing lesion within hepatic segment 7, probable perfusion defect.  