66 years, Male, Reason: met urothelial cancer History: met urothelial cancer; staging. Study limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple scattered subcentimeter T2 hyperintensities. No cysts were seen on prior CTs. Common bile ducts is a prominent without an obstructing lesion present.SPLEEN: No significant abnormality noted.PANCREAS: Prominent pancreatic duct.ADRENAL GLANDS: Right adrenal nodule measuring 1.2 cm (601/27) which does not definitively lose signal on out of phase imaging. Left adrenal nodule measures 0.8 cm (601/23) which does not definitively lose signal on out of phase imaging. Both of these lesions are considered indeterminate and unchanged from prior exams.KIDNEYS, URETERS: Bilateral subcentimeter hemorrhagic cysts. Additional T2 hyperintensities are not well characterized without intravenous contrast. Diffusely increased signal within the kidneys on T2 images likely indicates chronic renal disease.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.PELVIS: PROSTATE, SEMINAL VESICLES: There is a mass within the perineum at the base of the penis which has increased in size measuring 7.1 x 4.7 x 6.4 cm (1501/7 and 1401/18), previously 3.2 x 4.0 x 2.4 cm. There is invasion superiorly to the right apex of the prostate. The mass abuts the anterior aspect of the rectum. There is increased T2 signal within the central portion of the mass, indicating necrosis.BLADDER: Foley catheter within the bladder.LYMPH NODES: Small pelvic lymph nodes, including a right obturator node measuring 2.2 x 0.6 cm (1501/27) unchanged. Small inguinal lymph nodes are also noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scattered T2 hyperintensities within the pelvis and spine, incompletely characterized.OTHER: No significant abnormality noted.
1.Necrotic mass at the base of the penis is increased in size.2.Multiple subcentimeter T2 hyperintensities within the liver. A benign etiology is favored, such as biliary hamartomas, however these were not seen on prior CTs and are incompletely characterized without intravenous contrast.3.Indeterminate bilateral adrenal nodules are stable.4.Findings of chronic renal disease with bilateral hemorrhagic cysts and indeterminate cysts