66-year-old man right native kidney nephrectomy for renal cell seen. Assess contralateral native kidneys for cystic changes and 4 right kidney fossa. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Two lesions in the spleen previously identified on the MR reidentified. One near the splenic hilus which is hypodense on image 29/170 measuring 1.9 x 1.7 cm in the peripheral subcapsular area measuring 2.1 x 1.9-cm which is hypervascular. These likely represent hemangiomas and are unchanged in size from the MRI.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Postsurgical changes right renal fossa with no evidence of local recurrence.The left kidney is small with numerous cysts consistent with chronic medical renal kidney disease. Most of the cysts are typical. On the lateral cortex two cysts are high density but do not enhance. These is seen pre-contrast coronal image 51/129 and delayed image 73/114. The larger more cephalad lesion measures 1.6 cm in diameter and it abuts a smaller more caudal lesion measuring 1.4 cm in diameter neither of which show significant change in density.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Prominent measuring 6.4-cm transverse by 5.2-cm AP is seen on axial image 137/170.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Renal allograft in the right iliac fossa demonstrates normal nephrogram and excretion. Heavy calcifications surrounding the dorsal aspect of the renal allograft is identified. This could represent a calcified old hematoma or foreign body. Correlate clinically.
No evidence of local recurrence in right renal fossa. None of the lesions in the left kidney is suspicious for neoplasm. Prominent prostate. Calcified structure dorsal to renal allograft correlate with surgical history.