66-year-old female status post heart transplant and partial gastrectomy. Presenting with right upper quadrant pain anemia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Ill-defined hypodense lesion in the left lobe of the liver measuring 10 x 9 mm on image number 14, series number 3, nonspecific. This lesion is not well seen on previous CT and MRI. Follow-up imaging with liver MR 6-month helpful. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Enhancing mass in the anterior aspect of the left kidney measuring 16 x 13 mm image number 47, series number 3 has slightly increased in size compared to previous CT and MRI. Simple appearing left renal cysts.RETROPERITONEUM, LYMPH NODES: Atherosclerotic changes involving the abdominal aorta predominantly SMA. Celiac trunk and IMA are patent.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Transplant kidney in the right iliac fossa without evidence of hydronephrosis, focal lesions.
Right adrenal mass suspicious for renal cell carcinoma slightly increased in size compared to previous studies.Liver MRI may be helpful in 6 months for further evaluation of the nonspecific, but new lesion in the left lobe of the liver.