Reason: evaluate for renal recurrence/metastasis History: Hx of renal cell ca, sp left partial nephrectomy. ABDOMEN: Limited examination without the administration of intravenous contrast.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: 1.4 cm cystic lesion in the pancreatic head likely represents a pancreatic cyst or IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes of a partial left nephrectomy. Multiple bilateral renal cysts, some of which demonstrate increase intrinsic T1 signal compatible with hemorrhagic or proteinaceous material. Right renal cyst demonstrates T1/T2 hypointense rim compatible with hemosiderin. Previously noted left renal mass with enhancing nodule on CT has slightly increased in size in its distal component, it solid component remains stable in size. Limited examination of the cysts without contrast.RETROPERITONEUM, LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Significant extra scoliosis and associated degenerative changes.OTHER: Small amount of ascites.
Significantly limited examination without contrast. Multiple bilateral renal cysts some of which are proteinaceous or hemorrhagic. Left renal cyst has increased in size in its cystic component, with its solid component (which enhanced on prior CT) stable, remaining suspicious renal malignancy. 