Male; 56 years old. Reason: evaluate for interval change in dysplastic nodules History: hcv cirrhosis, high AFP ABDOMEN:LIVER, BILIARY TRACT: Nodular, cirrhotic changes. Increased reticular T2 signal with delayed enhancement, compatible with areas of confluent fibrosis. No ductal dilatation. Cholelithiasis. Mild ascites. Patent portal venous system. Scattered siderotic nodules are similar to prior study. Previously described segment 8 lesion is not discretely visualized. No enhancing lesion suspicious for hepatocellular carcinoma.SPLEEN: Splenomegaly, similar to prior study.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: Esophageal varices, similar to prior study.BONES, SOFT TISSUES: Small fat-containing ventral hernia.OTHER: Moderate ascites, mildly increased since prior study.
Cirrhosis with sequela of portal hypertension with mildly increased ascites. Multiple siderotic nodules. No enhancing lesion suspicious for hepatocellular carcinoma.