Female 42 years old with Cowden Syndrome and/or SDHB mutation, attenuated FAP. Assess for RCC recurrence and liver lesion. ABDOMEN:LIVER, BILIARY TRACT: Numerous bilobar liver lesions are not significantly changed in size or imaging characteristics.The right hepatic dome lesion measures 5.7 x 4.3 cm (series 1501/417), unchanged with allowing for differences in technique and positioning and with features compatible with focal nodular hyperplasia. Reference segment 4 lesion measures 2.3 x 2.2 cm (series 1501/390) and again has imaging features of adenoma.Stable segment 6 subcapsular hemangioma.The additional bilobar lesions are unchanged in number and appearance and are compatible with numerous FNHs. SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances homogeneously. The pancreatic duct is not dilated. Punctate cystic foci are unchanged and may represent small IPMNs.ADRENAL GLANDS: No significant change in size or appearance of the right adrenal lesion with loss of signal on out of phase imaging compatible with lipid rich adrenal adenoma.KIDNEYS, URETERS: Postsurgical changes of the left kidney are again seen. There is no evidence of tumor recurrence. No new suspicious renal lesion or hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Small follicles are seen in both ovaries. There is no dominant follicle or suspicious adnexal mass.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.No evidence of recurrent or metastatic renal cell carcinoma.2.Stable bilobar hepatic lesions compatible with hemangioma, adenoma and numerous focal nodular hyperplasia.3.Unchanged lipid rich right adrenal adenoma.