40 year-old male, distention, right lower quadrant pain, flank pain evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable bilateral adrenal mass lesions. Right adrenal mass measures 4.6 x 4 .1-cm on image number 34. Left adrenal mass measures 9.9 x 5.1 cm image number 36.KIDNEYS, URETERS: Right nephrectomy site is clear. Irregular left kidney is unchanged. Possible photocell carcinoma cannot be excluded. Left renal vein is again distended suspicious for tumor thrombus. If there is a clinical concern to evaluate the left renal vein and the left kidney MRI may be helpful.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No change in the right paracolic cutter metastases measuring 5.8 x 2.6 cm image number 71.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Inflammatory changes and small fluid Colette since adjacent to the sigmoid colon consistent with diverticulitis.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Metastatic renal cell cancer. New diverticulitis with small fluid collections in the pelvis.