76 years, Male, Reason: history urothelial cancer status post right nephroureterectomy in past, assess for recurrence History: history urothelial cancer status post right nephroureterectomy in past, assess for recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter left renal cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Large left renal sinus cyst is slightly increased in size measuring 11.2 cm (6/12), previously 10.5 cm, and now causes severe hydronephrosis which is new. There is no associated ureteral dilatation, therefore the hydronephrosis is likely due to obstruction at the UPJ. Status post right nephrectomy.RETROPERITONEUM, LYMPH NODES: Aneurysmal dilatation of the mid infrarenal aorta is unchanged measuring 4.0 x 3.3 cm (7/25), previously 4.0 x 3.3 cm BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of recurrent or metastatic disease given the limitations of an unenhanced exam.2.Increased size of left renal sinus cyst with new severe hydronephrosis and UPJ obstruction. Obstruction may be due to mass effect from the cyst or a crossing vessel.3.Stable infrarenal abdominal aortic aneurysm.Findings discussed with service at 3:00 p.m. on 2/18/2015.