Female 70 years old Reason: 70F with complex renal cyst on ultrasound, please further evaluate. Stage 3 CKD, should NOT get contrast. History: left renal cyst The study is limited in the absence of intravenous contrast.ABDOMEN:LUNG BASES: Fat signal soft tissue lesion at the thoracic inlet without complexity/nodule is most compatible with an intrathoracic lipoma.LIVER, BILIARY TRACT: No significant abnormality noted. Cholelithiasis. Adenomyomatosis of the gallbladder fundus.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilobed left renal cyst with thin internal septations measures 1.6 x 3.2 x 1.1 cm. No nodules are identified within the cystic lesion. Evaluation is limited in the absence of intravenous contrast.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Thinly septated cystic lesion in the left kidney. No nodules are identified however evaluation is limited in the absence of intravenous contrast.2.Cholelithiasis.3.Intrathoracic lipoma.