History of right kidney mass status post RFA 10/22/2014. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis. No choledocholithiasis or biliary ductal dilatation. Stable nonenhancing T2 weighted hyperintense hepatic lesions likely represent small cysts.SPLEEN: No significant abnormality noted.PANCREAS: 8 x 6 mm non-enhancing cystic lesion adjacent to the distal pancreatic body/tail pancreatic duct, likely a side branch IPMN (series 4/17). 9 x 7 mm pancreatic head side branch IPMN (series 4/26) without mural nodular enhancement. Punctate IPMNs in the pancreatic tail. These are not significantly changed. The pancreatic parenchyma is otherwise normal in morphology.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Post-treatment changes from the prior ablation of the right renal midpole lesion. In the region of the ablation there is an expected defect and "peri-ablational halo". Along the medial margin there is a focal region of intrinsic T1-weighted hyperintensity without evidence of post-contrast enhancement, compatible with clot/proteinaceous material. Additional bilateral simple renal cysts and a left mid/lower kidney likely proteinaceous cyst are stable.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.Stable appearance of the right kidney status post ablation without evidence of recurrence.2.Stable bilateral renal cysts.3.No significant change in the pancreatic suspected side branch IPMNs.4.Cholelithiasis.