- Cirrhotic configuration of the liver with irregular outline, heterogeneous parenchyma and hypertrophied left and caudate lobes.
- A right lobe segment V mild arterially enhancing hypervascular lesion is seen measuring 4 X 3.5 cm. The lesion shows washout in the portal and delayed venous phases with capsular enhancement. The lesion shows heterogenous predominantly hypointense T1 signal with foci of hyperintensity that show signal drop-out in the axial GRE out of phase images indicative of fatty metamorphic changes. It shows T2 mild hyperintensity with a small central T2 bright focus within (nodule within nodule appearance).
- Enlarged porta-hepatis and peri-operative lymph nodes are seen with the largest is 5 X 4 cm seen abutting the pancreatic head. The enlarged porta hepatis lymph nodes show evident restricted diffusion.
- Moderate dilatation of the intra-hepatic biliary radicles.
- Normal pancreas and both kidneys.
- The spleen is surgically removed.
- Mild ascites.
- Umbilical hernia containing small bowel loops and mesenteric fat.