History of renal cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes from a right renal inferior pole partial nephrectomy. Several interpolar simple cysts are noted and are unchanged.Interval postsurgical changes of the left renal interpolar region with scar tissue extending laterally. Within the scar tissue are small regions of T2 weighted hyperintensity likely reflecting small postsurgical fluid collections. No suspicious residual enhancement in the partial nephrectomy bed.Postcontrast imaging demonstrates differential enhancement of the left kidney with greater enhancement of the inferior pole relative to the superior pole. There is also delayed excretion of contrast by the superior pole. There is mild hydronephrosis as well of the superior pole. RETROPERITONEUM, LYMPH NODES: Nonspecific 5 mm retroperitoneal lymph node posterior to the left renal artery, not significantly changed.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post partial nephrectomy changes of the left kidney interpolar region without specific evidence of residual tumor in the nephrectomy bed.2.Hydronephrosis and relatively delayed and decreased enhancement of the residual left superior pole.These findings were discussed with the ordering physician, Dr. Eggener (1323 at 08/06/2015).