Male 61 years old Reason: left renal lesion and liver lesion - eval if metastatic vs hemangioma History: Left renal lesion ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are a few scattered hepatic cysts. The reference lesion in the right hepatic lobe measuring 1.3 x 1.4 cm by MRI on image 120/series 9 is hypointense on T2-weighted imaging. The lesion is enhances and is isointense to the portal vein with subtle connections to the adjacent hepatic vein and likely represents a portal vein to hepatic venous shunt. No suspicious lesions in the liver.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Solid enhancing mass at the lower pole of the left kidney measures 5.0 x 5.3 cm. The lesion is mildly hyperintense on T2-weighted imaging. The main left renal vein is patent. There is mild perinephric infiltration.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.Right hepatic lobe lesion in question represents a portal vein to hepatic venous shunt. No suspicious hepatic lesions.2.Left lower pole renal cell carcinoma as detailed above.