Male 81 years old Reason: Pt is an 81 y/o male with met RCC, evaluate for progression History: met RCC ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are approximately 6 hepatic lesions distributed through both lobes. Reference measurements are provided below. There is a residual thin rim of enhancement. The majority of the lesion has undergone necrosis in its center.The other lesions are also undergone similar areas of necrosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. Convex cystic lesion with dense calcification (correlate with prior CT imaging) in the left upper pole is unchanged. There are several other simple cysts in the left kidney.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affects the lumbar spine.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 6/7/2016 14:30:00)LIVER LESION: 4.3 x 3.2 cm (Image 208, Series 9); 5.6 x 4.2 cm on prior (2/18/2016) (Image 13, Series 10).SEGMENT 2 LESION: 2.7 x 2.9 cm (Image 209, Series 9); 4.5 x 3.7 cm on prior (2/18/2016) (Image 22, Series 10).SEGMENT 6 LESION: 3.4 x 2.5 cm (Image 225, Series 9); 3.5 x 3.9 cm on prior (2/18/2016) (Image 40, Series 10).
1.Decrease in the size of the reference lesions with increasing central necrosis.