Female 51 years old Reason: evaluate for renal recurrence or metastasis History: hx of renal cell carcinoma, sp partial nephrectomy ABDOMEN:LIVER, BILIARY TRACT: Scattered hepatic cysts. No suspicious hepatic lesions. Gallbladder and biliary tree are normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: Multiple cystic lesions in the pancreas. The dominant lesion measures 2.1 x 1.9cm previously 2.2 x 2.2cm.Some of the lesions have complex features. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes in the right kidney from a partial right nephrectomy.Complex cystic mass in the upper pole of right kidney with enhancing septations measures 5.8 x 5.0 cm previously 5.6 x 4.4. . There are other smaller cystic lesions in the right kidney that are complex.Solid enhancing medially located mass measures 1.5 x 1.5 cm.Postsurgical changes in the left kidney with two mass lesions having been resected. Residual enhancing lesion along the lateral aspect measures 3.0 x 2.9 cm. There are multiple smaller solid lesions with complex features, also suspicious for small renal cell carcinomas.RETROPERITONEUM, 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.Complex cystic mass of the upper pole the right kidney with enhancing septations represents at least a Bosniak 3 lesion.2.1.5 cm solid enhancing right renal mass is compatible with a renal cell carcinoma3.3 cm solid enhancing left renal mass is compatible with a renal cell carcinoma.4.Cystic lesions in the pancreas, some of them having complex features.