History of hepatitis C and liver lesion seen on outside MR. LIVER: The liver is coarse in echotexture and mildly echogenic. It demonstrates a mildly undulating contour. In the right hepatic dome there is a 2.0 x 1.1 x 1.8 cm hypoechoic lesion likely corresponding to that seen on the prior MRI. No additional liver lesion.Normal hepatopedal portal venous blood flow at 0.1 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with the common duct measuring 2 mm. Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The partially imaged pancreatic head is unremarkable. The remainder of the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 12 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 11.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 11.6 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
2.0 cm right hepatic dome lesion better characterized on the outside MRI where it appears to have demonstrated arterial enhancement, washout and capsule formation, meeting imaging criteria for HCC in the setting of chronic liver disease.