Examinations:Abdomen plain,Abdomen +con., Contrast:
Pelvis plai..(More) lopamiro 300 100ml/bot ml
Report:
Clinical History
Hx of HBV cirrhosis,CT on 4/08 showed a suspicious left heaptic lesion,suggest Fu CT for progress,please book a Fu CT for progress
CT ABDOMEN
(Precontrast scans through liver followed by postcontrast scans from diaphragm to iliac crests. Delayed scans through liver )
Comparison is made with CT done on 8.4.08.
The liver has a nodular contour with hypertrophic caudate lobe,suggestive of liver cirrhosis.
The nodular lesion located in the dome of left lobe of liver in last study now measures 1.5cm .It is isodense on precontrast scan,and showed arterial enhancement (HU 99) and later with washout (HU 68) in portovenous phase.
Another well-defined hypodensity near the dome of right liver lobe measures 0.4cm and showed no interval change in size and appearance,likely a benign cyst.
The spleen is enlarged measuring about 12.5cm.
Esophageal varices are seen.
Varices are also seen in lienorenal ligament.
The gallbladder is unremarkable.
The portal vein is patent.
CBD and intrahepatic ducts are not dilated.
The pancreas and kidneys are unremarkable.
Small amount of ascites are noted at perihepatic and left subdiaphragmatic recess.
No abdominal lymphadenopathy is seen.
The lung bases are clear.
Impression:
Decompensated liver cirrhosis with ascites,splenomegaly and esophageal varices.
A 1.5cm left hepatic nodule (at liver dome);highly suspicious of HCC.
Hepatic cyst.
不要自动翻译的~例如:google。谢谢