Metastatic renal cell cancer. History of pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal morphology and size. Decreased signal intensity on in phase imaging suggesting iron deposition. No discrete lesion is evident. No biliary ductal dilatation. Normally distended gallbladder. Small layering gallstones/sludge.SPLEEN: No significant abnormality noted.PANCREAS: The caudal aspect of the pancreatic head/uncinate process is mildly prominent. No peripancreatic inflammatory changes. The main pancreatic duct is normal in caliber without distal pancreatic atrophy. No focal pancreatic lesion is evident. Findings suggest sequela of prior acute interstitial pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. The left kidney is atrophic with cortical thinning and numerous small cysts compatible with acquired cystic disease of dialysis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Interval improvement in mild dilatation of the third portion of the duodenum.BONES, SOFT TISSUES: Fluid adjacent to the right ischial tuberosity may represent common hamstring attachment pathology.OTHER: No significant abnormality noted.
1.Sequela of prior acute interstitial pancreatitis involving the caudal aspect of pancreatic head/uncinate process without evidence of acute inflammation or an underlying discrete lesion.2.Cholelithiasis.3.Status post right nephrectomy without evidence of locoregional recurrence.