History of autoimmune hepatitis with concern for liver mass. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with reticular fibrotic changes. In the right hepatic dome segment 7/8 there is a 3.1 x 3.0 cm lesion demonstrating patchy arterial enhancement (series 1 101/302) which demonstrates washout on delayed phase imaging compatible with HCC.There are several small foci seen on delayed phase imaging without corresponding arterial enhancement which may represent perfusion anomalies. No additional suspicious arterially enhancing and washing out lesion is evident.No biliary ductal dilatation or vascular abnormality.Cholelithiasis without cholecystitis.Small porta hepatis lymph nodes are nonspecific in the setting of chronic liver disease. Some of these enhance but demonstrate no washout.SPLEEN: The spleen measures 15 cm in craniocaudal dimension without a focal lesion.PANCREAS: Mild fatty atrophy of the pancreas without pancreatic ductal dilatation or focal suspicious lesion. Pancreas divisum.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral simple appearing cysts and too small to characterize T2-weighted hyperintensities. No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild basilar atelectasis.OTHER: No significant abnormality noted.
Cirrhosis with a 3.1 right hepatic dome mass meeting imaging criteria for HCC. No additional suspicious lesion is identified. Porta hepatis lymph nodes are nonspecific in the setting of chronic liver disease.Cholelithiasis without cholecystitis.