74-year-old male with renal cell carcinoma needing restaging examination. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Low T2 signal of the liver, suggestive of iron deposition. Reference enhancing nodule along the anterior peritoneum just anterior to the left hepatic lobe measuring 2.6 x 1.9 cm, unchanged (series 11/43).SPLEEN: Reference rim-enhancing intrasplenic lesion measures 4.5 x 3.8 cm, previously 2.9 x 2.2 cm (series 11/36); this lesion has increased in size due to increased central cystic component/necrosis. Reference rim-enhancing posterior perisplenic lesion measures 1.6 x 2.3 cm, unchanged (series 11/58).Decreased size of enhancing lateral perisplenic nodule (series 11/43).PANCREAS: No significant abnormality noted.ADRENAL GLANDS:Reference enhancing nodule in the superior aspect of the left nephrectomy bed measures 2 x 0.8 cm, previously 2.7 x 1.9 cm (and decreased in size (series 11/54).KIDNEYS, URETERS: Status post left nephrectomy. Reference amorphous soft tissue in the left nephrectomy bed currently measuring up to 3.2 x 2.1 cm, unchanged series 11/60). Again, this tissue likely represent postsurgical scarring given its stability.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY:Postsurgical changes from left colectomy with right lower quadrant colostomy. Reference left lateral body wall rim-enhancing lesion located in the superior left paracolic gutter measures 4.5 x 2.4 cm, previously 4.5 x 3.1 cm and mildly decreased in size (series 11/79). BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple enhancing metastases in the upper abdomen are stable to decreased in size since prior study. No new sites of disease.