History of colon cancer now with enlarging liver lesion and renal lesion. Negative PET scan. Please evaluate for metastasis. ABDOMEN:LIVER, BILIARY TRACT: There is susceptibility artifact in the gallbladder fossa related to the surgical clips. Within the liver parenchyma adjacent to the gallbladder fossa there is a geographic area of signal dropout on the out of phase images compatible with focal intracellular fat. There is no associated enhancement, T2 signal abnormality, or restricted diffusion. Findings are compatible with focal fatty infiltration. No additional suspicious hepatic lesions.Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Mild splenomegaly with the spleen measuring 13 cm in length.PANCREAS: Pancreas is normal in signal and morphology. The main pancreatic duct is nondilated.ADRENAL GLANDS: Redemonstration of a left adrenal nodule which measures 1.5 x 2.0 cm. This lesion demonstrates signal dropout on the out of phase images compatible with intracellular fat. There is mild restricted diffusion. The lesion enhances similarly to the background adrenal parenchyma. The right adrenal gland is unremarkable.KIDNEYS, URETERS: Redemonstration of a 11 x 10 mm exophytic nodular lesion arising from the superior pole of the right kidney. This has mildly increased T2 signal, restricted diffusion, and enhances on the postcontrast images. Appearance is compatible with a small renal cell carcinoma.Numerous additional simple cysts bilaterally. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with focal fatty infiltration in the gallbladder fossa. No evidence of hepatic metastasis.2.No significant change in small right superior pole renal mass compatible with small renal cell carcinoma.3.Left adrenal nodule with imaging findings compatible with a benign adenoma.