Reason: 46F s/p R partial Nx for TFE3+ RCC; screening eval for right nephrectomy bed recurrence ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesion. Patient is status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right partial nephrectomy. Enhancing subcentimeter nodule at the right kidney resection bed measuring 6 x 5 mm (series 11 image 413), appearing similar to prior study. Right inferior pole T2 bright lesion is again seen. There is some mild increase in the signal on subtraction image, but this may be volume averaging as the subtraction images are now completely aligned. Favor simple cyst as lesion was stable over past 2 years, but attention on follow-up imaging.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted. Pericaval lymph node appears stable from prior study.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Partially visualized nonspecific T2 bright lesion measuring 5.1 x 3.1 cm (series 6 image 2) without enhancement. This likely reflects fluid collection, but please correlate with patient history and obtain mammogram if indicated.
1.Enhancing 6 mm nodule in the nephrectomy bed appears similar to prior study. No new findings to suggest disease recurrence.