Male; 81 years old. Reason: 81 y/o male with HCC. Chemo has been on hold for 1m- GIB. Restaging CT- compare to prior History: see above ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour compatible with cirrhosis. No biliary ductal dilatation. Patent hepatic vasculature. No significant interval change in the size of segment 4 ablation cavity with high intrinsic T1 signal due to residual blood products. Area of enhancement along the postero-lateral wall of the ablation cavity measures 1.8 x 1 cm (series 11/23), previously 1.7 x 1.4 cm. Again, this area demonstrates T2 hyperintensity, restricted diffusion, arterial enhancement, and washout, compatible with marginal recurrence. Abutment and probable invasion of the middle hepatic vein are again noted. No additional suspicious hepatic lesions are seen.SPLEEN: No significant abnormality noted.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.OTHER: No significant abnormality noted.
Findings compatible with marginal recurrence along the posterolateral aspect of the segment 4 ablation cavity are not significantly changed.