Left renal mass status post cryotherapy ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted in the liver. Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The left upper pole renal lesion is unchanged in size at 2.1 x 2.1 cm (series 3, image 23) and without change in signal characteristics. Post-ablation changes are again identified. Lack of intravenous contrast limits assessment for enhancing/suspicious components. No definite restricted diffusion is seen. Multiple additional simple appearing cysts are noted bilaterally.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted. No retroperitoneal or abdominal lymphadenopathy.BOWEL, MESENTERY: Partially imaged large hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of ascites. Small right and trace left pleural effusions.
1.Stable appearance of the ablated left upper pole renal lesion. Lack of intravenous contrast limits assessment for solid neoplasm, and continued follow-up is recommended given the patient's history of papillary renal cell carcinoma.2.No abdominal or retroperitoneal lymphadenopathy.3.Small amount of non-specific ascites, small right greater than left pleural effusions.