Reason: renal cancer on affinator; please compare with last MRI in 2/2016 History: restaging ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter enhancing lesion seen on the prior exam is no longer evident. Subcentimeter T2 hyperintensities are stable and likely represent cysts. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes from partial resection of right moiety and total resection of left moiety of horseshoe kidney. Enhancing lesion in the right mid pole is slightly decreased in size measuring 4.8 x 2.4 cm, previously 4.8 x 2.6 cm. There is increased enhancement on the arterial phase, which may reflect increased vascularity from treatment response or necrosis of fat. However, tumor thrombus into the right renal vein and IVC is decreased since the prior exam. Right lower pole cyst is unchanged.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.Residual/recurrent tumor in the right mid pole is slightly decreased since the prior exam with decreased tumor thrombus into the right renal vein and IVC.2.No new lesions are evident.