Cystic renal mass. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver morphology, without focal lesion. No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: Mild diffuse pancreatic duct dilation, similar to prior exam, without focal parenchymal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The coarsely calcified cystic lesion in the mid-to-lower left kidney measures 2.0 x 1.7 cm (series 8, image 19), previously 1.9 x 1.8 cm. The lesion contains a small focus of apparent internal enhancement (series 13, images 31-34), enhancement is questioned based on subjective evaluation as, per the MRI technologist, satisfactory subtraction imaging sequences were not able to be acquired secondary to patient motion. Additional bilateral simple and hemorrhagic renal cysts are noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted. No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Calcified cystic lesion in the left kidney with a small focus of apparent enhancement, suspicious for a cystic renal cell carcinoma. 