70 year-old female. History of bilateral renal cysts (complex). Evaluate for bilateral renal mass. ABDOMEN:LIVER, BILIARY TRACT: Hepatic dome is not included in the field of view. No suspicious hepatic lesion in the visualized liver. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Complex left upper pole cyst with with enhancing thin septations is 3.5 x 3 cm (series 10, image 27), unchanged. A second adjacent cyst with T1 hyperintensity and a fluid-fluid level and no appreciable enhancement on subtraction sequences, most likely a hemorrhagic cyst (series 10, image 21), unchanged at 2.2 x 2.1 cm.Right interpolar region simple cyst measures 3.9 x 3.3 cm (series 10, image 40), unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mildly complex left upper pole cystic lesion with enhancing thin septations is indeterminate, continued follow-up is recommended. No new suspicious lesions.