50-year-old male with history of urothelial cancer. Status post right nephroureterectomy and right adrenalectomy in 2014. Please assess for disease progression. ABDOMEN:LIVER, BILIARY TRACT: Loss of signal intensity of the hepatic parenchyma between the in and out of phase sequences compatible with hepatic steatosis.SPLEEN: Splenomegaly measuring 15 cm in length.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Status post right adrenalectomy. Normal left adrenal gland.KIDNEYS, URETERS: Status post right nephrectomy. No recurrent lesion identified in the surgical bed. Normal enhancement of the left renal parenchyma. No hydronephrosis. No filling defect of the left collecting system or left ureter.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Tiny hiatal hernia. Mild colonic diverticulosis without evidence for acute diverticulitis.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No abnormal filling defects or asymmetric wall thickening.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.Status post right nephrectomy. No evidence of local tumor recurrence or metastatic disease.2.Hepatic steatosis.