55 years, Male, Reason: evaluate renal lesion, rule out renal recurrence History: hx of prostate cancer, renal cell carcinoma sp partial nephrectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter cyst in the left hepatic lobe.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes in the left upper pole. There are multiple bilateral renal cysts, some of which are hyperintense on T1 weighted images including a left mid pole cyst measuring 2.1 cm (10/16), which likely represent hemorrhagic/pronation is contents. No enhancing tissue to suggest local recurrenceRETROPERITONEUM, LYMPH NODES: Enlarged right para-aortic lesion measuring 2.0 x 1.5 cm (7/24).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes in the lumbar spine with hardware from lower lumbar spinal fusion.OTHER: No significant abnormality noted.
1.No evidence of local recurrence.2.Enlarged retroperitoneal lesion. Differential includes a primary retroperitoneal mass, including a pheochromocytoma, versus an enlarged malignant lymph node.3.Bilateral hemorrhagic renal cysts.