History of HCV and EtOH cirrhosis, outside CT with hypodense lesions in liver. Evaluation is significantly limited by motion.ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology with diffuse nodularity and reticular increased T2 signal suggestive of fibrosis. In segment 2, there are 2 lesions corresponding to the hypodense lesions seen on recent CT. The first lesion measures 1.7 x 1.7 cm and the second lesion measures 1.7 x 1.6 cm (series 5, image 7). Both lesions demonstrate mildly hyperintense T2 signal and hypointense T1 signal. The lesions do not demonstrate definite arterial enhancement, though this is limited by motion. The signal characteristics are suggestive of regenerative nodules. There is possibly a third similar lesion within segment 2 with similar signal characteristics. There is an additional lesion within the posterior aspect of the right hepatic lobe (series 8, image 18) with similar signal characteristics. A few additional smaller nodules throughout the liver are too small to characterize. The portal venous system appears patent. Evaluation of the hepatic arteries and veins is limited by motion. No biliary ductal dilatation.SPLEEN: Massive splenomegaly with spleen measuring up to 2.6 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is mild prominence of the right renal pelvis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild ascites.
1.Examination limited by patient motion.2.Cirrhotic liver with massive splenomegaly and mild ascites.3.Multiple hepatic lesions suggestive of cirrhosis related nodules without definite benign or malignant features, corresponding to the previous CT findings, although evaluation is somewhat limited by motion. Continued attention to these lesions on follow-up is recommended. 