History of clear cell renal cell carcinoma status post left nephrectomy. Follow-up exam. ABDOMEN:LIVER, BILIARY TRACT: The liver has normal morphology. There is diffuse parenchymal signal loss in the out of phase images compatible with hepatic steatosis. No biliary ductal dilatation.SPLEEN: Scattered T2 bright foci within the spleen which previously demonstrated delayed fill-in on postcontrast images compatible with hemangiomas.PANCREAS: There is a 13 x 8 mm simple cystic focus in the uncinate process, likely side branch IPMN. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post left nephrectomy. There are numerous cystic foci within the right kidney of varying signal characteristics. Evaluation for malignancy is markedly limited by the lack of intravenous contrast.There is a mixed solid and cystic mass within the renal hilum which measures 3.9 x 3.3 cm in maximum dimension (series 1601 image 19), previously 4.0 x 3.1 cm. The solid components demonstrate restricted diffusion. Overall this is not significantly changed from prior.An interpolar cyst with low T2, high T1 signal and no significant restricted diffusion is described in size and now measures 2.5 x 2.5 cm (series 501 image 13), previously 2.0 x 1.7 cm. There is an exophytic nodule arising from the inferior pole that has heterogeneous but intermediate T1 and T2 signal and no significant restricted diffusion which now measures 18 x 14 mm (series 501 image 6), previously 15 x 14 mm.RETROPERITONEUM, LYMPH NODES: Stable enlarged peripancreatic lymph node which measures 2.6 x 1.8 cm (series 501 image 23), previously 2.8 x 1.6 cmBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple incompletely evaluated solid and cystic lesions within the right kidney compatible the patient's known renal cell carcinomas. There has been slight interval enlargement of some of these lesions as described above.2.Status post left nephrectomy. Stable enlarged peripancreatic lymph node. No evidence of metastatic disease.