92-year-old male with diffuse lymphadenopathy, weight loss. Evaluate for mass. The lymph node biopsy with metastatic carcinoma likely renal in origin on pathology. Limited evaluation of the vasculature and solid parenchymal organs due to the lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Bilateral simple renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Subcentimeter T2 hyperintense foci of the left iliac bone (series 3 image 19) are only seen in the coronal series.OTHER: Worsening right lower lobe consolidation and right pleural effusion since the 7/29/2016 PET/CT exam. Septations are noted within the right pleural effusion. Cardiomegaly. Sternotomy wires.
1.No suspicious renal lesion. Bilateral simple renal cysts.2.Right lower lobe consolidation and right pleural effusion increased in the interval. Dedicated CT chest is recommended for further evaluation.3.The small T2 hyperintense foci of the left iliac bone correspond to the known FDG-avid lesions identified on the 7/29/2016 PET/CT exam.