42-year-old male. Rule out RCC metastases. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintense foci favored to be cystic (series 1/1/2001 images 36, 30).SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy, and no recurrent nodular enhancement is identified. The previously described fluid collection in the left-sided surgical bed has decreased in size and now measures 2.0 x 2.6 cm (series 1001 image 21) (prior 3.1 x 3.2 cm). The fluid collection demonstrates thin peripheral enhancement on the delayed phase (series 1506 image 205), which may represent fibrosis. Small subcentimeter adjacent lymph nodes are noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. RETROPERITONEUM, LYMPH NODES: No new lymphadenopathy. Incidental note is made of a retroaortic left renal vein.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Subcentimeter T2 hyperintense focus of the left costochondral junction (series 1001 image 18) correlates with a hypodense focus on the prior CT exam and is of uncertain clinical significance.Tiny foci of susceptibility artifact and linear delayed enhancement of the left ventral abdominal wall (series 1506 image 40) is likely postsurgical in origin and corresponds to the region of subcutaneous emphysema from the prior CT exam.T1 hyperintense linear focus across the anterior abdominal wall (series 1506 image 5) could represent prior ventral hernia repair with mesh, and clinical correlation is needed.OTHER: No significant abnormality noted.
Status post right nephrectomy, distal pancreatectomy, and splenectomy. Decreased size of the previously seen fluid collection in region of surgical bed. No evidence of recurrent nodular enhancement in the residual pancreatic parenchyma. No specific evidence of metastatic disease.