60-year-old man status post nephrectomy in 2014 for chromophobe RCC, now with right flank pain, left thigh numbness, and periportal lymphadenopathy. ABDOMEN:LIVER, BILIARY TRACT: There is mild fatty infiltration of the right lobe of the liver. The gallbladder appears normal. There is no intra or extra hepatic biliary duct dilatation. SPLEEN: The spleen appears normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The patient is status post right nephrectomy and there is no evidence of local recurrence or abnormal enhancing mass. The left kidney appears normal.RETROPERITONEUM, LYMPH NODES: Subcentimeter portacaval lymph nodes are noted. Subcentimeter retroperitoneal lymph nodes are also noted.BOWEL, MESENTERY: The partially visualized small bowel and colon appear normal.BONES, SOFT TISSUES: There is a small fat-containing umbilical hernia. There is an L3 Schmorl's node, please see concurrent MR L-spine report for complete description.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.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.Status post right nephrectomy without local recurrence or lymphadenopathy.2.Please see concurrent MR L-spine report for additional findings.