14-year-old female with history of tuberous sclerosis.EXAMINATION: MR kidneys without and with intravenous contrast 12/16/2016 Exam is limited slightly by patient motion.Previously noted subtle faint area of increased T2 signal intensity in the periphery of the right hepatic lobe is not present on today's exam; its evaluation is slightly limited by patient motion. The gallbladder is normal. No intra or extrahepatic biliary ductal dilatation.The pancreas is normal with no pancreatic ductal dilatation.The spleen is normal.The adrenal glands are symmetric and normal.Exophytic lesion in the in the right mid kidney anteriorly demonstrating low signal intensity on the fat saturated sequences compatible with an angiomyolipoma is unchanged measuring 17 mm (series 501, image 12). Additional smaller lesion more posterior laterally measures 9 mm is also unchanged (series 501, image 12). Two 5-mm lesions in the midportion of the left kidney demonstrating low signal intensity on the fat saturated sequences likely additional angiomyolipomas are also unchanged (series 501, image 21). Numerous bilateral subcentimeter cysts are present. No hydronephrosis. No new renal lesions are present.Bone marrow signal intensity is normal.The soft tissue are normal.
Bilateral angiomyolipomas and subcentimeter cysts are unchanged.