41-year-old female with history of metastatic renal cancer status post RFA in January. Follow-up new 5 mm nodule. ABDOMEN:LIVER, BILIARY TRACT: Previously noted segment 4a five mm arterially enhancing focus is no longer visualized. Postablation changes in the inferior right hepatic lobe without evidence of recurrent disease. Additional fat containing nonenhancing subcentimeter focus in segment 7 is noted. No arterially enhancing lesions are present.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postoperative changes of left nephrectomy without evidence of recurrent disease.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Previously noted segment 4a arterial enhancing focus is no longer visualized. This may represent treatment effect. Correlate with clinical history.2.No evidence of recurrent tumor in the right inferior hepatic lobe ablation cavity. No suspicious arterially enhancing lesions.3.Postoperative changes of left nephrectomy without evidence of recurrent disease.