42-year-old woman with history of chromophobe type renal cell carcinoma status post resection in 2008, subsequent hepatic metastasis ablation in 2015. ABDOMEN:LIVER, BILIARY TRACT: There is a new 8 mm T2 hyperintense round lesion in segment 7 at the dome (401/37). This lesion abuts the diaphragm, it is difficult to discern true enhancement. The previously seen segment 4A enhancing lesion is not visualized on today's study. There is no evidence of abnormal enhancement near the segment 6 resection cavity. There is no intra or extrahepatic biliary ductal dilatation. Gallbladder appears normal.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Patient is status post left adrenalectomy.KIDNEYS, URETERS: Patient is status post left nephrectomy. No suspicious right renal lesion seen.RETROPERITONEUM, LYMPH NODES: Small retroperitoneal lymph nodes without significant lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.New segment 7 lesion at the dome which abuts the diaphragm (making it difficult to discern enhancement) but is suspicious for a new hepatic metastasis.2.Hepatic ablation defect and left nephrectomy without evidence of local recurrence.