55-year-old female patient with cirrhosis. Screening HCC. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Small volume of perihepatic ascites. TIPS in place. There is a 0.9 x 0.9 cm (series 801 image 31) T1 hyperintense lesion in the hepatic dome that does not demonstrate enhancement on arterial or subtraction images. This lesion corresponds with the previously described enhancing lesion that do not meet criteria for HCC, unchanged in size.SPLEEN: Borderline splenomegaly, measuring up to 12 cm in craniocaudal dimension. Stable 1.8 cm distal splenic artery aneurysm (series 401 image 17).PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is a tubular cystic lesion anterior to T11/T12 and to the right of the aorta that does not enhance and measures up to 1.5 cm in maximal diameter, suggestive of a cisterna chyli. This is new compared to prior.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology.2.Subcentimeter lesion in the dome of the right hepatic lobe does not demonstrate enhancement and does not meet criteria for hepatocellular carcinoma.3.Stable splenic artery aneurysm.4.Probable new cisterna chyli.