Multiple predominantly arterial enhancing masses throughout the liver, with a large conglomerate occupying the majority of the right hepatic lobe. This majority of this large conglomerate has arterial enhancement and washout on portal venous phase imaging. A few other satellite lesions have more heterogeneous enhancement, with areas of enhancement or hypoenhancement on both arterial and portal venous phase imaging. Example smaller lesion with homogeneous arterial enhancement and washout on portal venous phase images (classic for HCC) is noted along the anterior aspect of segment 2-3, with slight contour deformity of the liver capsule.
Mass effect on the hepatic and portal veins without definite tumor thrombus.
New rounded mass in the left adrenal gland. No abdominal adenopathy. No findings of metastases elsewhere.