28 years, Male, Reason: 28 yo male with VHL and history of enhancing renal masses; measure for growth and new lesions History: 28 yo male with VHL and history of enhancing renal masses; measure for growth and new lesions. ABDOMEN:LUNGS: Small bilateral pleural effusions and basilar atelectasis.LIVER, BILIARY TRACT: Loss of signal on out of phase images suggest diffuse steatosis. No focal hepatic lesions.SPLEEN: Small splenule.PANCREAS: Multiple small pancreatic cysts are increased from the prior exam. No dilatation of the main pancreatic duct.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Well-circumscribed left upper pole enhancing lesion is increased in size measuring 2.9 x 2.7 cm (1401/242), previously 1.6 x 1.2 cm, and suspicious for renal cell carcinoma.. Multiple additional subcentimeter lesions are likely enhancing but too small to characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS: MalePROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: 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.Left upper pole enhancing renal lesion is increased in size and suspicious for renal cell carcinoma. Additional subcentimeter lesions are also likely enhancing and suspicious for neoplasm but are too small to definitely characterize.2.Increased pancreatic cysts.