Female 47 years old; Reason: Evaluate AML for change History: Tuberous Sclerosis, renal AML ABDOMEN:Evaluation suboptimal without IV contrast and sequences degraded by patient motion artifact. Additionally per MRI technologist multiple issues were experienced with respiratory triggering during the exam and as a result alternative sequences were acquired and also included in study.LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse hepatic steatosis with small sparing seen near gallbladder fossa. Cholelithiasis. No secondary signs of acute cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilaterally seen are multiple macroscopic fat-containing renal lesions, appearance compatible with angiomyolipomas. Accounting for differences in technique these lesions are without significant change. Largest discernible lesion seen extending exophytically from anterior aspect of mid pole of left kidney on image 33 series 8, lesion measures 4.4 x 2.8 cm on image 33 series 8, previously measured 4.5 x 3 cm. Additional T2 hyperintense foci seen compatible with cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Evaluation suboptimal without IV contrast.2. Without significant change are bilateral renal angiomyolipomas, largest seen extending exophytically from mid pole of left kidney as above. (Please note that the size above which treatment, e.g., embolization, is recommended due to an increased risk of bleeding is 4 cm.)