Evaluate for RCC. History of Cowden Syndrome and/or SDHB mutation, attenuated FAP, history of clear cell RCC, thyroid cancer, oligo-polyposis. ABDOMEN:LIVER, BILIARY TRACT: Numerous bilateral liver lesions have not significantly changed in size or imaging characteristics.The right hepatic dome lesion measures 6.1 by x 4.5 cm (series 1501/66), essentially unchanged, with imaging features compatible with focal nodular hyperplasia.The reference segment 4 lesion, more compatible with an adenoma is also stable in size measuring 2.4 x 2.4 cm (series 1503/52).The segment 6 subcapsular hemangioma is unchanged in size.The remaining liver lesions appear to retain contrast on delayed hepatobiliary phase imaging compatible with numerous FNHs.No new lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas divisum. No ductal dilatation or significant parenchymal abnormality. Punctate cystic foci are unchanged and may represent small IPMNs.ADRENAL GLANDS: The right adrenal lesion is homogeneous in intensity and demonstrates loss of signal on out of phase imaging compatible with a lipid rich adrenal adenoma.KIDNEYS, URETERS: No suspicious renal lesion. Distortion of fat dorsal to the left kidney is compatible with post-surgical changes given the provided history of RCC. No evidence of tumor recurrence. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Left adnexal cyst is within physiologic limits. Unremarkable uterus and right adnexa.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change with bilobar hepatic lesions compatible with hemangioma, adenoma and numerous focal nodular hyperplasia.2.Unchanged right adrenal lipid-rich adenoma.3.No suspicious renal lesion. 