82-year-old male with history of urothelial cancer. ABDOMEN: Limited examination due to absence of IV contrast due to to patient's low GFR.LIVER, BILIARY TRACT: Gallbladder sludge within a mildly hydropic gallbladder. There is an outpouching along the gallbladder wall which may represent focal adenomyomatosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a T1 mildly hyperintense T2 hypointense 1.3 cm the lesion within the interpolar left kidney which is nonspecific although may represent a hemorrhagic/complex cyst. T2 hyperintense cysts, some of which are too small to further characterize and the left kidney. No hydronephrosis or perinephric inflammation. Status post right nephrectomy. There is no filling defect within the left ureter.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Clonic diverticulosis is noted. Trace ascites is present. There is a nonobstructing ventral abdominal hernia.BONES, SOFT TISSUES: T2 hyperintense focus in the L1 vertebral body and left iliac wing may represent hemangiomas.
1.Limited examination secondary to absence of IV contrast due to to patient's low GFR.2.Status post right nephrectomy without evidence of residual or recurrent disease.3.T1 mildly hyperintense, T2 hypointense lesion within the interpolar left kidney is nonspecific but may represent a hemorrhagic cyst, can be re-assessed on future imaging.