Male 26 years old Reason: Evaluate Renal Angiomyolipomas for change History: Tuberous Sclerosis ABDOMEN:LIVER, BILIARY TRACT: Multiple small hepatic T2 hyperintense lesions which is signal on fat suppression imaging are compatible with multiple small hepatic angiomyolipomas and are unchanged compared to prior study. There is no intra or extrahepatic biliary duct dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Arterial enhancing lesion in the pancreatic tail has further increased in size. It measures 3.6 x 2.9 cm (series 100, image 17), remeasured on prior study at 2.5 x 1.6 cm and this remains suspicious for a neuroendocrine tumor.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal masses are again seen compatible with angiomyolipomas. The dominant exophytic mass arises from the lower pole of the left kidney and demonstrates an increase in size measuring 6.4 x 4.5 cm (series 6, image 28), previously 5.6 x 3.9 cm. Additional lesions are subjectively stable in size. No new lesions are identified. Multiple small renal cysts are also identified.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: A fatty lesion adjacent to the left ventricle is again seen and is unchanged.
1.Enlarging pancreatic lesion which is compatible with a neuroendocrine tumor.2.Bilateral renal masses are again noted which are compatible with angiomyolipomas. The dominant lesion at the lower pole of the left kidney has increased in size compared to prior studies, and renal cell carcinoma is not excluded.3.Multiple hepatic lesions which are compatible with angiomyolipomas are unchanged compared to prior study.