69-year-old male patient with history of right kidney mass status post CT RFA on 10/22/2014. Follow-up examination. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis. Stable T2 weighted hyperintense hepatic lesions, likely representing cysts. SPLEEN: No significant abnormality noted.PANCREAS: Two non-enhancing cystic foci within the distal pancreatic body/tail measuring 8 x 6 mm (image 5, series 7) and the pancreatic head measuring 9 x 7 mm (image 15, series 7) are unchanged in size and likely represent side branch IPMNs. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Post-ablation treatment changes of the midpole of the right kidney with an ablation defect and stable peri-ablation changes. Intrinsic T1 weighted hyperintensity along the medial margin of the defect without enhancement is compatible with blood products/proteinaceous material, unchanged. Additional bilateral renal cysts and a T1 hyperintense, likely proteinaceous/hemorrhagic cyst, lesion are stable. 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.Stable appearance of the right kidney status post ablation without evidence of recurrence.2.Stable bilateral renal cysts.3.Stable appearing probable sidebranch IPMNs.4.Cholelithiasis. 