Left renal mass. History of orthotopic liver transplant for PSC. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from orthotopic liver transplant. The liver is normal in morphology size and signal intensity without a focal lesion. No intrahepatic biliary ductal dilatation.SPLEEN: Normal size without a focal lesion.PANCREAS: 9 mm cystic focus in the pancreatic tail without definite communication with the main pancreatic duct is unchanged. No main pancreatic ductal dilatation or focal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral T2 weighted hyperintense simple and minimally complex cysts. Several too small to characterize foci.In the left renal interpolar region there is a T2 weighted hypointense lesion measuring 1.7 x 1.4 cm, previously this measured 1.3 x 1.3 cm. The lesion is isointense to the medulla on precontrast images. The lesion demonstrates mild postcontrast enhancement relative to the cortex.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post colectomy. Right lower lower quadrant ileostomy with moderate-sized parastomal prolapse which is partially imaged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Slowly growing 1.7 cm left interpolar solid mildly enhancing T2 weighted hypointense lesion suspicious for renal cell carcinoma, specifically papillary subtype.2.Postsurgical changes from orthotopic liver transplant without complication.3.Subcentimeter pancreatic tail focus may represent a branch type IPMN without suspicious imaging features.