Generalized abdominal pain. Needing additional workup per Dr. Renz. ABDOMEN:LUNG BASES: Dependent opacities in the lung bases, likely atelectasis. LIVER, BILIARY TRACT: 3.1 x 3.6 cm complex cystic lesion in the right hepatic lobe with thin septations. No associated enhancing solid nodularity.Mild fatty infiltration of the liver. No biliary ductal dilatation. No choledocholithiasis or cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right lower pole heterogeneously enhancing mass measures 5.3 x 4.7 (series 1302, image 182), highly suspicious for a renal cell carcinoma.No renal vein or IVC invasion is evident.RETROPERITONEUM, LYMPH NODES: Scattered small retroperitoneal lymph nodes. No lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right lower pole enhancing mass highly suspicious for a renal cell carcinoma. No evidence of local metastatic disease.2.Mildly complex septated right hepatic lobe lesion, likely a complex cyst, with biliary cystadenoma much less likely given male gender. Special attention on follow-up scans.