Large heterogenous soft tissue mass in the superior aspect of the right lobe of the liver, with a well circumscribed but irregular border. The mass shows heterogenous peripheral and central enhancement and contains a central area of hypoattenuation consistent with a necrotic core. There is early washout as the lesion is hypodense on portal venous phase imaging. Findings are consistent with focal hepatocellular carcinoma. Incidental left renal cyst.
There is no evidence of local metastasis. The portal and hepatic veins are spared.