History of tuberous sclerosis and renal angiomyolipomas. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Stable nonspecific subcentimeter focus in the distal pancreatic body/tail.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Demonstrated again are multiple bilateral T1 and T2 hypointense renal masses demonstrating mild postcontrast enhancement. No macroscopic fat is apparent. The largest is a right superior pole lesion measuring 3.9 x 3.3 x 3.9 cm in maximal cross-section. This is increased from the prior study remeasured using similar technique. The remaining lesions measure less than 2.5 cm in maximal dimension. The largest left renal lesion measures 2.2 x 1.4 cm.No hydronephrosis.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.
Bilateral renal lesions compatible with multiple lipid poor angiomyolipomas given the clinical history. The largest measures 3.9 cm in maximum dimension in the right superior pole, increased from the prior study.