67-year-old female with history of RCC, status post right nephrectomy. Had a 7 mm lesion in the left lower pole (indeterminant at outside facility). Surveillance. ABDOMEN:LIVER, BILIARY TRACT: Stable 1 cm T2 hyperintense focus of the hepatic dome, which progressively fills in on venous and delayed postcontrast imaging and is compatible with a hemangioma (coronal series 4 image 22, axial series 11 image 354). The subcentimeter nonenhancing focus of the peripheral hepatic segment 6 is too small to characterize (series 11 image 309).Cholelithiasis. A questionable small enhancing polyp versus enhancing nodular fold within the gallbladder lumen is incompletely characterized (axial series 11 image 319). No intra or extrahepatic biliary ductal dilatation.SPLEEN: Subcentimeter T2 hyperintense foci are too small to characterize.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Normal left adrenal gland. A right adrenal gland is not clearly visualized.KIDNEYS, URETERS: Status post right nephrectomy. The nonenhancing subcentimeter T1 hyperintense focus of the left lower renal pole parenchyma (series 11 image 23) is unchanged. The separate nonenhancing T1 hypointense focus of the left lower renal pole (series 11 image 302) and is best seen in the postcontrast coronal plane (coronal series 13 image 36) is also unchanged. This T1 hypointense focus also does not demonstrate definite T2 signal intensity.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: The T2 hyperintense and fat-sensitive hyperintense focus of the L4 vertebral body (coronal series 4 image 21) is unchanged and likely represents a benign osseous hemangioma.OTHER: No significant abnormality noted.
1. The subcentimeter T1 hyperintense and separate T1 hypointense nonenhancing foci of the left lower renal pole are too small to characterize but unchanged in size and appearance. 2. A questionable small enhancing polyp versus enhancing nodular fold within the gallbladder lumen is incompletely characterized, and a right upper quadrant ultrasound is recommended.3. Small hemangioma of the hepatic dome.