History of partial left nephrectomy in 2008. Evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. Hepatic steatosis.SPLEEN: Stable subcentimeter enhancing soft tissue nodule along the anteroinferior margin of the spleen is consistent with an accessory spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postoperative appearance of a partial nephrectomy on the left. In the surgical bed there is a stable cystic lesion measuring 2.7 x 2.6 cm (series 8/27), compared to 3.0 x 2.3 cm previously. There is internal debris but no enhancing components. No hydronephrosis. No new suspicious renal lesion. RETROPERITONEUM, LYMPH NODES: Small retroperitoneal lymph nodes are not significantly changed and measure less than 1 cm in short axis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA:7.2 x 7.7 cm uterine fibroid in the right uterine body/fundus is similar in appearance. 2.4 cm uterine fundus fibroid. The endometrial thickness is normal. The inner myometrium/junctional zone is normal in thickness and signal intensity. Numerous nabothian and Bartholin's cysts are present.Right adnexal cyst measuring 2.8 x 2.5 cm.BLADDER: 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.
Status post partial left nephrectomy with stable cystic changes at the surgical bed. No evidence of recurrent or metastatic disease.