Cirrhotic liver. Evaluate new liver lesion. Evaluation is limited due to respiratory motion.ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour with cirrhotic morphology. Within segment 5, there is an arterial enhancing lesion, with washout on delayed imaging measures 2.2 x 1.6 cm (series 12, image 50), characteristic of hepatocellular carcinoma. Within segment 7, there are additional peripheral enhancing foci, that do not meet washout criteria for hepatocellular carcinoma. The hepatic and portal veins are patent.SPLEEN: Splenomegaly measuring up to 13.8 cm in the coronal plane.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: Moderate volume abdominal ascites. Unremarkable bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large right pleural effusion.
1.2.2cm segment 5 arterial enhancing lesion with washout, in patient with cirrhosis, characteristic of hepatocellular carcinoma.2.Moderate abdominal ascites and large right pleural effusion possibly from a hepatic hydrothorax.3.Splenomegaly.