Male 28 years old Reason: Pancreatic Neuroendocrine followup, hx of angiomyolipoma of kidneys, s/p distal pancreatectomy splenectomy, left nephrectomy, history tuberous sclerosis. Evaluate for interval change or development of met disease History: PNET and angiolipoma of kidneys ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are scattered well marginated T1 hyperintense lesions that suppress on fat suppressed imaging and are compatible with small fat containing lesions. The largest is in the left hepatic lobe measuring 1.3 x 1.3 cm.SPLEEN: Status post splenectomy. Small enhancing nodule in the splenic bed likely represent small residual splenic tissue.PANCREAS: Status post distal pancreatectomy. No fluid collections or focal mass identified in the surgical resection margin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are multiple right renal lesions with fat intensity compatible with angiomyolipomas. Solid lesions such as the lesion in the upper pole of the right kidney as seen on image 53 of series 19 has only a few foci of fat and are likely lipid poor angiomyolipoma.Dominant fatty right kidney mass measures 4.8 x 3.7 cm with nodular enhancement. Postsurgical changes in the lower pole of the left kidney. There are multiple fat-containing lesions in the left kidney.Subcentimeter T2 hyperintense foci in the kidneys likely represent small cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: A fatty mass near the apex of the heart is present. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple liver lesions which are fat-containing.2.Multiple renal lesions most of which have fat compatible with angiomyolipomata. Dominant lesion is in the right kidney. 3.Status post distal pancreatectomy and splenectomy without definite recurrent disease.