Suspicious left mid pole lesion seen on prior ultrasound. History of heart transplant. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement. Several subcentimeter simple cysts are noted. No intrahepatic biliary ductal dilatation. Partially contracted gallbladder with numerous small gallstones. No extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted. Subcentimeter punctate cystic lesions in the pancreas. The pancreatic duct is normal in caliber. These likely reflect small sidebranch IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal mid/upper lesion measuring 2.0 x 1.8 cm (series 10/25), demonstrating mild post-contrast enhancement (series 100, image 118), suspicious for renal cell carcinoma. Several simple and minimally complex renal cysts are present. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild gynecomastia.OTHER: No significant abnormality noted.
Left renal mid/upper 2.0 cm lesion suspicious for renal cell carcinoma, possibly papillary type.Cholelithiasis without cholecystitis.