48-year-old woman with history of sarcoid, cirrhosis, and ascites with liver lesion noted on CT. Please note that this examination is limited to dielectric artifact from volume of ascites.ABDOMEN:LIVER, BILIARY TRACT: There is a poorly defined, approximately 39 x 38 mm region of increased T1 signal in segment 4A (series 801, image 44) which demonstrates loss of signal with opposed phase imaging (series 801, image 43). This area demonstrates very slightly increased T2 signal relative to the remaining liver parenchyma and does not appear to abnormally enhance.The hepatic fissures are widened, there is caudate hypertrophy, and decreased parenchymal signal. Scattered, subcentimeter hepatic cysts are noted.The portal vein is patent. There is no intrahepatic biliary duct dilatation. The gallbladder is distended but normal.SPLEEN: The spleen is enlarged to 20 cm. Numerous perisplenic varices are noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a right upper pole renal cyst, the kidneys are otherwise normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The partially visualized small bowel is normal. The colon is gas distended up to 5.3 cm..BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a large amount of ascites.
1.Focal fat in segment 4 of the liver corresponding to lesion seen on prior CT.2.Cirrhotic liver morphology with splenomegaly and perisplenic varices.3.Large volume of ascites with artifact which slightly limits this examination.