History of cirrhosis and multiple liver lesions, evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour compatible with cirrhosis with diffuse reticular T2 hyperintensity compatible with fibrosis. There are multiple subcentimeter nodules some of which demonstrate subtle arterial enhancement and others of which demonstrate subtle intrinsic T1 hyperintensity compatible with regenerative and siderotic nodules. An example arterially enhancing nodule in segment 8 measures 10 mm (series 901, image 382), unchanged. The previously described arterially enhancing anterior segment 3 lesion is not well-visualized on this examination. None of the lesions demonstrate definite washout on delayed images. The hepatic vasculature remains patent. No biliary ductal dilatation. There is once again trace perihepatic ascites.SPLEEN: Splenomegaly with spleen measuring up to 16.6 cm in the craniocaudal dimension, similar to prior.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cirrhotic liver with multiple siderotic and regenerative nodules without suspicious features at this time.