History of renal cancer status post left nephrectomy. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity without a focal lesion or biliary ductal dilatation. Normally distended gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post left nephrectomy. In the adjacent dorsolateral retroperitoneal space there are several soft tissue nodules that demonstrate postcontrast enhancement, the largest conglomeration of which measures 2.4 x 1.4 cm (series 12 101/2024), slightly increased in size when measured on the prior outside hospital study where it measured approximately 2.2 x 1.1 cm (series 12 image 31). Another discrete nodule more inferiorly measures 8 mm (series 12 101/154), compared to 6 mm previously (series 12 image 41). There is a discrete parasplenic implant on the left lateral transversalis fascia (series 1201/324), increased in size. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: In the lower left lateral abdominal wall musculature there is a 1.8 x 1.0 cm enhancing nodule (series 1201/4), unchanged.OTHER: No significant abnormality noted.
Status post left nephrectomy with enhancing soft tissue nodularity in the left retroperitoneal compartment along the fascial planes suspicious for residual or locally recurrent disease, slightly increased in size compared to the prior. Nonspecific enhancing soft tissue nodule in the left lateral abdominal wall musculature may represent a site of metastatic disease.