Male 71 years old Reason: evaluation of possible mesothelioma spreading to abdomen History: reevaluation ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious intrahepatic lesions. Hepatic veins are patent. Gallbladder and biliary tree are without diagnostic abnormality.SPLEEN: No significant abnormality noted.PANCREAS: Age related fatty atrophy of the pancreasADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right upper pole renal cyst with enhancing internal septations and complexity measures 4.5 x 4.5 cm (image 249/series 10). No hydronephrosis in either kidney.The smaller left renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Extensive thickening of the omentum and peritoneum. The thickened omentum shows restricted diffusion and enhancement. At its widest point the left upper abdominal the omentum measures 3.6 cm in thickness (image 82/series 12).There are scattered upper abdominal ascites.BONES, SOFT TISSUES: Nonspecific mild body wall edema which may be postsurgical.Postsurgical changes in the left thorax.OTHER: No significant abnormality noted.
1.Findings of extensive upper abdominal omental disease with thickening of the small bowel mesentery with reference lesions provided above.2.Complex right upper pole renal cyst with enhancing septations suspicious for a complex cystic renal neoplasm (cystic renal cell carcinoma)