Liver lesion and complex renal cyst noted on screening ultrasound. 53-year-old male with chronic hepatitis B. ABDOMEN:LIVER, BILIARY TRACT: The right hepatic lobe lesion seen on the prior ultrasound is not definitely identified. An 8 mm T2 hyperintense lesion in the posterior right hepatic lobe (segment 6/7) appears to be a separate incidentally detected lesion based on size and location. This lesion demonstrates faint arterial enhancement with progressive enhancement on the hepatic, portal venous, and delayed phases, likely representing an hemangioma. Additional subcentimeter subcapsular cysts noted. The background liver is non-cirrhotic in appearance.Gallbladder adenomyomatosis noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: 18 mm cyst in the left kidney lower pole, seen on the prior ultrasound, without associated soft tissue or enhancement. The left midpole calculus seen on prior ultrasound is not definitively seen on MRI, likely due to spatial resolution/slice thickness. Punctate nonenhancing T2 hyperintense foci in the right kidney are too small to characterize though likely also represent cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1. Right hepatic lobe lesion seen on the prior ultrasound is not definitely identified. 2. Subcentimeter posterior right hepatic lobe lesion likely representing an hemangioma. 3. Left renal cyst without suspicious features. 