56-year-old female with lung cancer status post chemotherapy and radiation, new suspicious left renal mass ABDOMEN:LIVER, BILIARY TRACT: Arterial enhancing focus in inferior right lobe of liver, segment six, is nonspecific. Multiple T2 hyperintense, nonenhancing foci are too small to characterize although likely reflect cysts.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Redemonstrated is a hypoenhancing, low T2 signal mass, with indistinct margins in the left interpolar kidney measuring 3.2 x 3.2 cm. There is no hydronephrosis or perinephric inflammation. A retroaortic left renal vein is patent.RETROPERITONEUM, LYMPH NODES: There is a peripherally enhancing left para-aortic lymph node measuring 1.8 x 1.6 cm (series 11, image 998). There is another left para-aortic lymph node measuring 1.1 x 1.5 cm (series 11, image 879). BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Hypoenhancing mass in the left kidney and regional lymphadenopathy as described above. Provided that there was no regional lymphadenopathy and FDG avid tumor evident on recent PET scan, findings are favored to represent metastatic disease.2.Arterial enhancing focus in inferior right lobe of liver, segment six, is nonspecific. Attention no subsequent imaging is suggested.