Reason: eval for HCC History: Hepatic lobe lesion on CT. History of lymphoma ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Cholelithiasis without evidence of cholecystitis. Mild periportal edema. There is ill-defined, confluent progressive enhancement within the left hepatic lobe and segment 4 of the right hepatic lobe with corresponding increased T2/DWI signal. There is no washout or focal suspicious lesions. Hypoattenuating lesion seen on the prior CT does not demonstrate arterial enhancement.SPLEEN: Enhancing focus within the spleen, likely a hemangiomaPANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly enlarged portacaval node measuring 2.2 x 1.0 cm (12/109).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic liver morphology with an ill-defined region of progressive enhancement. This likely represents fibrosis, however diffusely infiltrating lymphoma cannot be excluded. PET/CT may be helpful for further evaluation.