Reason: lesion left kidney. lesion pancreas on prior CT scan. Evaluate characteristics and interval change History: lesion left kidney. lesion pancreas ABDOMEN:LIVER, BILIARY TRACT: Loss of signal on a phase images suggests steatosis.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct appears normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a cystic lesion in the left upper pole which is increased in size since the prior MRI measuring 1.6 x 1.5 cm, previously 0.9 x 0.9 cm. There is mild increase intrinsic T1 signal. On postcontrast sequences, there is a small septation with nodular enhancement (20/54, 100/24, 11 704/60).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.Cystic lesion in the left upper pole has increased in size and has a septation with nodular enhancement. This lesion is consistent with a Bosniak 3 and while indeterminate, renal cell carcinoma remains on the differential.2.Hepatic steatosis.