43-year-old male with history of VHL status post bilateral adrenalectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered subcentimeter hepatic cysts. No suspicious lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral benign cysts appearing similar to prior. No suspicious lesions identified.RETROPERITONEUM, LYMPH NODES: Status post bilateral adrenalectomy. Left retroperitoneal nodule measures 10 x 8mm, previously 11 x 8 mm (image 19 of series 601).T2 hyperintense enhancing lesion at the midline inferior to the aortic bifurcation measures 9 x 8 mm, previously 12 x 10 mm (image 43 of series 1601).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: At the level of L1, a presumed hemangioblastoma measures 15 x 10 mm, previously 14 x 13 mm (image 13 of series 601). Other smaller similar appearing lesions have not appreciably changed.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Overall unchanged exam. Left retroperitoneal nodule, paraganglioma inferior to the aortic bifurcation and spinal hemangioblastomas without significant interval change.