HCC screening. Budd-Chiari syndrome and cirrhosis. Follow-up nonspecific lesion. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology, without appreciable ascites. The previously seen enhancing focus within the caudate lobe is again identified, unchanged at 1.0 x 1.0 cm (series 10, image 45). No definite washout is seen. The previously seen punctate focus of arterial enhancement in the caudate lobe (series 10, image 48), is also seen and again without washout.The left and middle hepatic veins are diminutive though patent, similar to prior. The right hepatic vein is again not well seen.Cholelithiasis without cholecystitis.SPLEEN: Splenomegaly with Gamna-Gandy bodies.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.
1. Cirrhotic liver morphology compatible with Budd-Chiari syndrome. 2. Arterially enhancing lesions in the caudate lobe, without washout, likely representing regenerative nodules. These lesions do not meet criteria for hepatocellular carcinoma.