History of hepatitis C and cirrhosis presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. No specific stigmata of portal hypertension.No biliary ductal dilatation. The vessels are patent.New segment 4A 7 mm and segment 2 8-mm T2 hyperintense lesions with associated restricted diffusion but no arterial enhancement or washout.Several punctate and peripheral wedge-shaped foci of arterial enhancement without washout or associated signal abnormality are likely perfusional anomalies, mostly unchanged.Normally distended gallbladder with small gallstones.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small left renal cysts.RETROPERITONEUM, LYMPH NODES: Mildly prominent periportal lymph nodes are nonspecific in the setting of chronic liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two new subcentimeter T2 hyperintense restricting lesions do not meet imaging criteria for HCC as they have no arterial enhancement or washout. Short-interval follow-up imaging is recommended to ascertain stability of these new lesions.