42 year old male with stage I seminoma, evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: Areas of loss of signal within the liver on out of phase images consistent with diffuse hepatic steatosis. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple cysts are identified within the kidneys bilaterally. Additional smaller subcentimeter foci of fluid signal intensity are identified within the kidneys, which are too small to characterize but likely represent simple cysts.RETROPERITONEUM, LYMPH NODES: Prominent retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged adenopathy, nonspecific right external iliac lymph node, measuring 9 x 6 mm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Heterogeneous bone marrow signal abnormality in the femoral head/neck junction likely represents residual islands of red marrow.
1. No convincing evidence of metastatic disease.2. Hepatic steatosis.