History of von Hippel-Lindau and kidney cysts. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are 2 lesions in the right kidney. A dorsal cortex inferior pole lesion measures 1.5 x 1.5 cm (series 5/41) and demonstrates mild T2-weighted heterogeneous hyperintensity and solid postcontrast enhancement (series 100/86).A partially exophytic lesion in the interpolar region demonstrates solid enhancement and measures 9 x 7 mm (series 100/82).Both of these lesions demonstrate loss of signal intensity on out of phase imaging compatible with intra-Voxel fat.A left inferior pole T2 hyperintense lesion measures 2.0 x 2.0 cm (series 5/47) with mild internal complexity/septations which appear to enhance on subtraction imaging (series 100/92).RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: T2 hyperintense focus in the lower thoracic spinal cord is incompletely characterized.
1.Two solidly enhancing right renal lesions measuring 1.5 and 0.9 cm. Intra-Voxel fat is noted. Differential considerations include lipid poor angiomyolipoma or clear cell type renal cell carcinoma with intracellular fat.2.2.0 cm left renal inferior pole cystic lesion does not meet criteria for a simple cyst and has suspected thin enhancing septations. 6-12 month follow-up is recommended.3.T2 hyperintense focus in the lower thoracic spinal cord is incompletely characterized. This was imaged on the outside hospital MRI of the spine.4.Nonspecific trace free fluid in the pelvis.