·         Liver is normal in size measures 12cm and shows irregular and nodular surface. There is 8.7x6.8x9cm (APxMLxSI) sized well defined, encapsulated, heterogenously enhancing mass lesion noted involving segment VI and VII of liver reaching upto the subcapsular aspect. Multiple illdefined non enhancing areas are noted within this lesion likely s/o necrosis. No obvious calcification is noted within it. On arterial phase images, heterogenous enhancement is seen with branches of hepatic artery seen coursing through this lesion. On subsequent portal and venous phase images hypoenhancement of this lesion is seen. This lesion is displacing right branch of portal vein and right hepatic vein. However, no evidence of any thrombosis is noted. Minimal perihepatic fat stranding is noted.

·         Few periportal, perigastric, anterior abdominal wall, gastroesophageal junction collaterals are noted.

·         Gall bladder is distended with normal wall thickness.

·         Pancreas appears normal and shows normal contrast enhancement. CBD appears normal. 

·         Spleen is enlarged in size and measures17.5cm.  It shows normal contrast enhancement. Splenic vein is dilated and tortuous in its course.

·         Aorta, IVC, portal vein, SMV and SMA appears normal.

·         Both adrenals are normal. 

·         Both kidneys appear normal in size and shows prompt nephrogram and good excretion of contrast. Both ureters appear normal in course and caliber.

·         Urinary bladder appears partially distended, normal.

·         Uterus appears normal. 

·         No significant abdominal lymphadenopathy seen.

·         Cecum appears edematous. Rest of visualized bowel loops appears normal. Ileoceacal junction appears normal. 

·         Moderate free fluid is noted in abdomen.

·         Visualised lung parenchyma appears normal.

·         VIsualised bones appear normal.

·         Minimal bilateral pleural effusion is noted.

·         Visualized bones show degenerative changes in the form of marginal osteophytes and end plate changes.

·         Atherosclerotic changes are noted in visualised abdominal aorta in the form of wall calcification

·         Fairly well defined heterogenously enhancing soft tissue mass lesion involving right lobe of liver as described above suggestive of malignant neoplastic etiology- Hepatocellular Carcinoma.

·         Moderate ascitis.

·         Splenomegaly.

·         Few periportal, perigastric, anterior abdominal wall, gastroesophageal junction collaterals.