Reason: Pt is an 80 y/o male with met rcc, on holiday from drug due to toxicity, evaluate for progression History: met rcc. ABDOMEN:LUNG BASES: Small right and trace left pleural effusions.LIVER, BILIARY TRACT: Cholelithiasis.Reference segment 6 lesion measures 0.9 x 0.6 cm (series 10 image 50), previously 1 x 0.6 cm.Reference segment 2 lesion measures 1.9 x 1.5 cm (series 10 image 24), previously 17 x 15 cm.Reference segment 6 lesion measures 3.4 x 2.3 cm (series 10 image 45), previously 2.8 x 2.4 cm when remeasured (series 14 image 50). Segment 5 hemangioma and adjacent cysts are unchanged.SPLEEN: No significant abnormality noted.PANCREAS: Nonenhancing cystic lesion within the pancreatic head is unchanged measuring 1.4 x 0.8 cm (series 7 image 19).ADRENAL GLANDS: Post surgical changes of the right adrenalectomy. Left adrenal gland stable.KIDNEYS, URETERS: Post surgical changes of a right nephrectomy. Complex cystic lesion in the left upper pole containing calcification, unchanged. Additional renal cysts are also unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes of the right anterior abdominal wall.OTHER: No significant abnormality noted.
1.Slight interval increase in size of a segment 6 lesion. Additional lesions are stable. 2.Stable nonspecific pancreatic cyst. 