History of cirrhosis. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size measuring 17.8 cm in the craniocaudal dimension. There is mild fissural widening and an undulating liver contour compatible with cirrhosis. There is heterogeneous intrinsic T1 and T2-weighted signal intensity of the liver as well as diffusely heterogeneous post-contrast enhancement, including several peripheral wedge-shaped arterially-enhancing and subsequently iso-intense foci suggestive of perfusional anomalies in the setting of fibrosis. The hepatic veins are normal in caliber and the vessels appear patent.No discrete suspicious arterial enhancing lesion with associated wash-out on portal venous, equilibrium and/or delayed imaging phases.Gallstones within a normally distended gallbladder. Minimal gallbladder wall thickening/pericholecystic fluid is nonspecific in the setting of cirrhosis. Minimal perihepatic fluid. No intra or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is mildly enlarged measuring 13.7 cm in craniocaudal dimension without a focal lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter simple appearing bilateral renal cysts. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Heterogeneous bone marrow signal intensity. Mild right sided gynecomastia. OTHER: No significant abnormality noted.
1.Cirrhotic hepatic morphology with stigmata of mild portal hypertension. No focal suspicious liver lesion. 2.Heterogeneous liver parenchyma on pre- and post-contrast imaging may represent underlying fibrosis and perfusional anomalies. 