History of renal carcinoma status post partial nephrectomy. Evaluate renal cyst and for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: Steatosis. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Stable enhancing left adrenal nodule with signal loss on out of phase images measuring 1.6 cm (series 10 image 23), consistent with a lipid rich adrenal adenoma.KIDNEYS, URETERS: Postsurgical changes from a right renal inferior pole partial nephrectomy with adjacent susceptibility artifact. There is no evidence of recurrent or residual tumor locally. No regional lymphadenopathy. The right renal vein is patent. There is a subcentimeter right renal interpolar cyst with a thin septation, unchanged.Minimally complex cyst with several enhancing septations in the left renal upper pole measuring 2.2 x 2.0 cm (series 7 image 17), unchanged. Additional left renal simple cysts are again noted.RETROPERITONEUM, LYMPH NODES: A few nonspecific subcentimeter retroperitoneal lymph nodes are unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable left upper pole renal cyst with enhancing septations.2.Postsurgical changes from a right renal inferior pole partial nephrectomy without evidence of residual/recurrent or metastatic disease.