84-year-old male with multiple bilateral hypodense lesions in the kidneys ABDOMEN: Lack of IV contrast and motion limits evaluation examination. LIVER, BILIARY TRACT: Extensive metastatic lesions throughout the liver consistent with metastatic disease. The largest lesion is in the left lobe measuring 3.3 x 3.6 cm, segment 2/3. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left superior pole, heterogenous, predominantly T2 hypointense renal mass measuring 2.7 x 3.1 cm is suspicious for malignancy. T1 hyperintense, T2 hyperintense, partially exophytic lesion in the interpolar right kidney may represent a hemorrhagic or proteinaceous cyst. Minimally complex left interpolar renal cyst. RETROPERITONEUM, LYMPH NODES: Infrarenal aortic aneurysm is partially visualized, not significantly changed in AP diameter when measuring at similar levels. There is peripheral isointense signal around the aorta, incompletely assessed. BOWEL, MESENTERY: Small bowel caliber is within normal limits without evidence of obstruction. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Nodule in the right middle lobe is again noted. Basilar atelectasis.
Lack of IV contrast and motion limits evaluation examination. 1.Left superior pole renal mass as detailed above suspicious for malignancy. Predominant T2 hypointensity suggests papillary subtype. 2.Innumerable liver masses compatible with metastases. 3.Infrarenal aortic aneurysm with peripheral isointense signal around the aorta may reflect a chronic dissection or peripheral thrombus, incompletely assessed. A dedicated CTA is recommended to evaluated the aorta. 4.Right middle lobe nodule, indeterminate and better seen on prior CT imaging. 