Male 57 years old with cirrhosis, HCC and IPMN. Assess for HCC recurrence and side branch IPMN. ABDOMEN:LIVER, BILIARY TRACT: Nodular, cirrhotic liver morphology. Hepatic steatosis.The segment 8 ablation cavity measures 1.8 x 1.1 cm (series 13, image 422), previously 1.8 x 1.3 cm. There is no enhancement within the ablation cavity and no evidence of residual tumor. A subcentimeter T2 hyperintense focus within hepatic segment 3 is likely a cyst. No new enhancing or suspicious liver lesion. A plaque-like enhancing focus in the gallbladder fundus measures 4 x 8 mm, stable compared to 1/6/2015. Cholelithiasis but no evidence of cholecystitis. No biliary ductal dilatation.Recanalized umbilical vein. The hepatic vasculature appears patent.SPLEEN: The spleen measures 14 cm in length, unchanged.PANCREAS: A lobular, cystic focus in the pancreatic head measures 13 mm, unchanged. The pancreas enhances homogeneously and is without suspicious lesion. The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing renal cysts, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Healed right posterior rib fractures are again noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with evidence of portal hypertension.2.Segment 8 and ablation cavity with no evidence of residual tumor.3.No new suspicious liver lesion.4.Stable cystic pancreatic head lesion suggestive of sidebranch IPMN.