Alcoholic cirrhosis and hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology.Numerous arterial enhancing foci are again noted.The previously characterized lesion in the hepatic dome segment VIII demonstrates arterial enhancement measuring 10 x 9 mm (series 11/23) with subtle corresponding washout (series 11/221), not significantly changed in size.The exophytic lesion at the level of the gallbladder fossa (series 11 image 42) demonstrates arterial enhancement but no definite nausea, unchanged.Scattered liver cysts. The portal vein is patent.Distended gallbladder with multiple gallstones. No specific evidence of acute gallbladder inflammation.SPLEEN: Borderline splenomegaly measuring 13 cm craniocaudal dimension.PANCREAS: 9 mm cystic lesion in the distal pancreatic body (series 8/17). No suspicious enhancing components. The main pancreatic duct is normal in caliber.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: Bilateral gynecomastia.OTHER: No significant abnormality noted.
Stable examination from recent prior including cirrhotic liver morphology with an arterial enhancing hepatic dome focus measuring 1.0 x 0.9 cm with subtle washout. Additional arterial enhancing foci are seen without definite corresponding washout, unchanged from recent prior examination but new from 2013. Continued close follow-up imaging is recommended. 