Female 67 years old with bilateral renal cell carcinoma status post nephrectomy and partial nephrectomy. Evaluate for renal recurrence or distant metastasis. ABDOMEN:LIVER, BILIARY TRACT: Multiple hepatic cysts are unchanged. Normally distended gallbladder without gallstones. No intra or extrahepatic biliary ductal dilatation. No ascites.SPLEEN: No significant abnormality noted.PANCREAS: Fatty infiltration of the pancreatic head is again noted. The pancreatic duct is normal in diameter.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. No evidence of recurrence in the nephrectomy bed.Status post partial left nephrectomy. A subcentimeter cystic focus in the inferior pole of the left kidney is likely a benign cyst and is unchanged.RETROPERITONEUM, LYMPH NODES: No regional lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Status post right nephrectomy and partial left nephrectomy with no evidence of disease recurrence or metastasis.