Male 73 years old Reason: Adrenal and kidney lesion - please evaluate History: Adrenal and kidney lesion - please evaluate ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal gland nodule is mildly T2 hyperintense shows enhancement does not have significant intra-Voxel fat. There are small foci of signal dropout on out of phase imaging but the majority of the lesion does not lose signal.KIDNEYS, URETERS: Small bilateral renal cysts. Some of the cysts in the kidney have internal complexity and several septations. No hydronephrosis.The previously measured left upper pole renal lesion currently measures 3.3 cm likely due to differences in technique. The lesion is hyperintense on T2-weighted imaging and shows some hairline internal enhancement and is compatible with a minimally complex cyst.RETROPERITONEUM, LYMPH NODES: Small retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left adrenal gland nodule may represent a lipid poor lipoma given its signal characteristics. It remains indeterminate but probably benign given its size stability for a year.2.Bilateral small renal cysts some of which have increased complexity with internal septations.3.The 3.3 cm left upper pole renal cyst has minimal internal complexity.