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CT Abd HCC, Cirrhosis

The liver demonstrates irregular nodular surface consistent with cirrhosis in this patient with known HCV. There is heterogeneously enhancing, well-circumscribed mass with central necrosis in the left liver lobe, Couinaud segment 3, measuring 4.9 x 6.2 cm (was 4.2 x 5.0 cm in June 2013). No additional liver masses are visible. There are no filling defects in the portal or hepatic veins.

Abdominal and pelvic lymph nodes are normal in size. The spleen and adrenals demonstrate no focal lesions. Several punctate calcifications are noted within the body and tail of pancreas. 6 mm nephrolith is noted within the upper pole of the right kidney. Enteric contrast extends to the rectum. The hollow viscera are without evidence for wall thickening, mass, or obstruction. No evidence of free fluid or free air in the peritoneal cavity. Multiple calcifications are noted within the prostate. Osseous structures are unremarkable.

1. Enlargement of hepatic neoplasm.
2. Cirrhosis.
3. Chronic changes as above.