Female 57 years old Reason: HCC screening History: PBC ABDOMEN:LIVER, BILIARY TRACT: The patient status post cholecystectomy. There is persistent mild intrahepatic biliary ductal dilatation. Single punctate focus of arterial enhancement in the right hepatic lobe (series 10/40) is nonspecific, and not seen on any other sequence-type or phase of contrast enhancement. The portal vasculature is patent. There is persistent mild intrahepatic biliary ductal dilatation, not substantially changed for multiple prior studies.SPLEEN: The spleen measures 13 cm in length and there are numerous perisplenic varices related to a splenorenal shunt.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Additional T2 hyperintense lesion in the superior pole of the left kidney is too small to characterize but presumably benign. There is no hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Nonspecific punctate arterial hyperenhancement in the right lobe of the liver is not present on any other sequence. Continued imaging surveillance for hepatocellular carcinoma is suggested in this high-risk patient.2.Mild intrahepatic biliary ductal dilatation, unchanged.3.Splenomegaly with perisplenic varices related to a splenorenal shunt unchanged.4.No ascites.