Male 68 years old with renal cell carcinoma and liver lesions seen on CT. ABDOMEN:LIVER, BILIARY TRACT: There is a T2 hyperintense focus with wall enhancement within the left liver dome that has decreased in size when compared to the prior CT. The previous described lesion in the right liver dome seen on the prior MRI was not visible on the prior CT and is not clearly defined on today's MRI. An additional T2 hyperintense lesion in the left lobe of liver (series 8, image 33) demonstrates no enhancement but was not seen on the previous exam.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Right adrenal gland nodule measures 14 x 13 mm (series 12, image 63), previously 13 x 13 mm. The left adrenal nodule is unchanged in size. Both nodules are bright on T1-weighted images and have signal loss centrally on out of phase imaging suggesting adenoma.KIDNEYS, URETERS: Status post right nephrectomy. T2 hyperintense cysts in the left kidney are unchanged from the prior exams.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.A T2 hyperintense focus within segment 2 of the liver is stable in size with nonspecific imaging features however it is suspicious for an atypical cystic metastasis.2.Stable bilateral adrenal nodules with features suggestive of adenomas.