Male; 73 years old. Reason: recurrent renal cancer s/p surgery. needs disease reeval History: renal cancer ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Low T2 signal of the liver, suggestive of iron deposition. New enhancing nodule along the anterior peritoneum just anterior to the left hepatic lobe measuring 2.6 x 1.9 cm (series 21/39), suspicious for metastasis.SPLEEN: New rim-enhancing intrasplenic lesion measuring 2.9 x 2.2 cm (series 21/39), suspicious for metastasis.Increased size of rim-enhancing posterior perisplenic lesion currently measuring 1.6 x 2.3 cm (series 21/61), previously 0.9 x 1.3 cm.There is also increased size of enhancing lateral perisplenic nodule (series 21/46).PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Increased size of enhancing nodule in the superior aspect of the left nephrectomy bed currently measuring 2.7 x 1.9 cm (series 21/59), previously 1.6 x 1 cm.KIDNEYS, URETERS: Status post left nephrectomy. Stable amorphous soft tissue in the left nephrectomy bed currently measuring up to 3.2 x 2.1 cm (series 21/66), previously 3.2 x 2.1 cm on prior study from 2/12/15 and 11/21/14 (when it was reported to measure 2.2 x 2.1 cm in error); this tissue likely represent postsurgical scarring given its stability.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Interval postsurgical changes from left colectomy with new right lower quadrant colostomy. Increased left lateral body wall rim enhancing lesion located in the superior left paracolic gutter currently measuring up to 4.5 x 3.1 cm (series 21/82), previously 2.9 x 2.4 cm; this lesion may be mildly invading adjacent small bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple enhancing metastases in the upper abdomen are new or increased since prior study.