Evaluate left renal mass. History of chronic kidney disease and hypertension. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. No focal suspicious lesion, or biliary ductal dilatation. Normally distended gallbladder without gallstones.SPLEEN: 9.6 x 9.5 cm homogeneously T2 weighted hyperintense lesion with a very hypointense mural nodule (may represent calcification) is nonspecific but demonstrates no postcontrast enhancement, and is likely benign.PANCREAS: No focal lesion or main pancreatic ductal dilatation.ADRENAL GLANDS: Subcentimeter right adrenal lateral limb nodularity.KIDNEYS, URETERS: Several punctate T2 hyperintense and hypointense subcentimeter right renal lesions are too small to characterize, likely benign cysts.Left renal superior pole 9.9 x 8.1 cm lesion demonstrating T2 weighted intermediate hyperintensity and T1-weighted hyperintensity with ill-defined hypointense margins and a heterogeneous mural nodule. There is equivocal wall enhancement and suspected enhancing mural nodularity (series 102, image 38). Additional T2-weighted markedly hyperintense lesions including an inferior pole exophytic 8.6 x 5.6 cm lesion without suspicious enhancement.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.The left renal superior pole predominantly cystic 9.9 cm hemorrhagic lesion has equivocal wall enhancement and suspected enhancing mural nodularity.2.Additional large left inferior pole cystic lesion demonstrates no suspicious post-contrast enhancement.3.Additional bilateral simple cysts, minimally complex cysts and too small to characterize renal lesions.