Male 54 years old Reason: eval kidney cystic lesion History: lesion ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. The biliary tree is normal in caliber. Gallbladder is not distended.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is mildly dilated with multiple small cystic foci adjacent to the duct. Differential considerations include chronic pancreatitis vs. Small branch type IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild to moderate bilateral hydronephrosis and hydroureter partially imaged.There is a T2 hypointense lesion at the upper pole of the left kidney that measures 2.2 cm further characterization of the lesion is not possible without contrast.Cyst in the right kidney measures 2.1 cm. Cyst at the upper pole of the left kidney measures 2.4 cm.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Post surgical changes in the lumbar spine with a right paraspinal/right psoas gas fluid pocket. Postsurgical changes in the right flank. There is a lipoma involving the right posterior lateral body wall.OTHER: No significant abnormality noted.
1.Indeterminate 2.2 cm lesion in the left kidney which cannot be characterized without contrast.2.Mild to moderate bilateral hydronephrosis of unclear etiology.3.Mildly dilated pancreatic duct with multiple dilated side branches from chronic pancreatitis or side branch type IPMNs.4.Postsurgical changes in the lumbar spine with the right psoas muscle and right body wall fluid pockets.