47-year-old male with renal cell cancer, status post left partial nephrectomy. Evaluate disease status. Rule out metastasis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter left lateral hepatic segment anterior hypodensity in is too small to characterize. This was not definitely seen on the CT scan examination from 11/2010, but the prior examination includes only a single delayed post-contrast phase. The significance is uncertain. Dedicated hepatic CT or MRI examination maybe helpful for further evaluation, if clinical indicated.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Status-post left upper pole partial nephrectomy with postoperative changes. No local recurrence. No hydronephrosis or perinephric collections. The left exophytic midpole cyst is stable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Subcentimeter hepatic hypodensity can be further characterized with dedicated CT or MRI examination, if clinically indicated.Status post left superior pole partial nephrectomy, with postoperative changes. No local evidence of recurrence or metastasis.