History of metastatic renal cancer, status post retroperitoneal resection, evaluate for recurrence ABDOMEN: Examination limited by lack of intravenous contrast.LIVER, BILIARY TRACT: Stable bilobar T2 hyperintense hepatic lesions may represent cavernous hemangiomas. No intra or extrahepatic biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Status post left adrenalectomy. The right adrenal gland is normal.KIDNEYS, URETERS: Status post left nephrectomy. No evidence of recurrence within the left nephrectomy bed. Status post partial right nephrectomy. There is a complex septated lesion in the inferior pole of the right kidney measuring up to 1.5 x 1.0 cm (series 4, image 28), previously 1.4 x 0.9 cm. Additionally, there is a complex cystic lesion in the midpole of the right kidney, unchanged for 2 years, measuring 1.4 x 1.0 cm (series 4, image 42).RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild degenerative changes affect the lumbar spine.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.No evidence of recurrent or metastatic disease on this limited exam. 2.Complex cystic mass in the right midpole, unchanged for 2 years. RCC can not be excluded.3.Stable reference complex cystic right inferior pole lesion, likely represents postsurgical changes.