53-year-old female patient with history of right kidney mass, evaluate change in size of characteristics. Note that the lack of intravenous contrast limits evaluation of solid organ pathology and lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilatationSPLEEN: No significant abnormality noted.PANCREAS: The pancreas is replaced with cystic lesions. No soft tissue lesion identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Innumerable complex hemorrhagic, proteinaceous, and simple cysts are noted in both kidneys. There appears to be decreased renal parenchyma compared to examination 9/5/2013, whereas the left kidney cysts and parenchyma appear similar. Susceptibility artifact from partial right nephrectomy noted. The previously identified mass in the posterior midpole of the right kidney measures 3.9 x 2.7 cm (series 3 image 24), previously 1.8 x 2.7 cm.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.Limited examination due to the lack of intravenous contrast. Given this limitation, the patient's known solid mass in the right kidney is increased in size compared to prior examination.2.Grossly stable appearance of multiple renal and pancreatic cystic lesions, which are incompletely evaluated on this noncontrast examination.