47-year-old man with history of partial kidney and renal clear cell carcinoma status post resection 4/2015. ABDOMEN:LIVER, BILIARY TRACT: An approximately 1 cm T2 hyperintense, peripherally enhancing focus is noted in segment 7 of the liver, likely a small hemangioma. The gallbladder is normal. There is no intra or extra hepatic biliary duct dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The patient has a history of horseshoe kidney, status post partial resection of right moiety and left nephrectomy. There is a 55 x 31 mm T2 isointense, enhancing mass arising from the mid/inferior pole (series 10, image 27), corresponding restricted diffusion noted. There is tumor invasion of the right renal vein and IVC (series 8, image 27). Additionally, the right renal artery branches appear to be encased by tumor (series 8, image 29). RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The previously described mass abuts the third portion of the duodenum, however the fat plane between the 2 appears intact. The small bowel and colon are otherwise normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Recurrent/residual tumor involving the right kidney and vasculature as described above.