History of partial right nephrectomy. Type II papillary renal cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology. There is an 8 mm focus in segment 7 of the liver (series 11/26) which is mildly T2 hyperintense and demonstrates arterial enhancement. A similar segment 5 8-mm focus is present (series 11/60). There is no rim enhancement, washout, restricted diffusion or interval growth of these lesions.There is no ductal dilatation or vascular abnormality. Normally distended gallbladder.SPLEEN: Subcentimeter perihilar splenules.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes from a prior right renal inferior pole partial nephrectomy. No evidence of residual or recurrent disease in the surgical bed. No regional lymphadenopathy.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The small bowel are normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Subcentimeter segment 7 and 5 arterially-enhancing lesions are difficult to characterize given their small size, but they have no suspicious imaging characteristics, such as rim enhancement, washout, restricted diffusion or interval growth of these lesions. These may reflect perfusional abnormalities. Attention to these lesions on follow-up surveillance imaging is recommended.2. Postsurgical changes from right inferior pole partial nephrectomy without evidence of recurrent disease.