72-year-old female patient with hypoattenuating lesion of the inferior pole of the right kidney. Patient diagnosed with colonic adenocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis. No intra or extrahepatic biliary ductal dilatation. No suspicious hepatic lesion is identified.SPLEEN: There is an accessory splenule.PANCREAS: There appears to be a stricture of the pancreatic duct within the body with focal dilatation of the duct up to 6 mm just distal to this point and generalized mild ductal dilatation otherwise. No pancreatic mass is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a 1.6 cm lesion within the right upper pole which demonstrates T2 hyperintensity and does not enhance; this is compatible with a cyst. A 1.4 cm right lower pole lesion with T2 hyperintensity, mild internal heterogeneity, and no significant enhancement is not significantly changed in size since a MRI from 8/21/2015. A subcentimeter T2 hyperintense lesion within the right lower pole and left mid pole are too small to characterize but likely represent cysts. No evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A lesion within the right aspect of the L4 vertebral body with internal fat is compatible with a hemangioma.OTHER: No significant abnormality noted.
1.Mildly complex cystic lesion without significant enhancement in the right lower pole is stable from prior MRI in 8/2015; this is likely benign in etiology. Simple renal cysts noted elsewhere.2.Focal stricture of the pancreatic duct without definite obstructing mass.3.Cholelithiasis without evidence of acute cholecystitis. 