Male 62 years old Reason: malignant neoplasm of kidney History: f/u scan ABDOMEN:LIVER, BILIARY TRACT: Signal dropout on out of phase images compatible with diffuse hepatic steatosis. Multiple subcentimeter T2 hyperintensities are compatible with hepatic cysts. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Clustered/multiseptated cystic lesions in the uncinate process measures 2.4 x 2.1 (series 6, image 23), remeasured on prior study at 2.4 x 2.1 cm and unchanged in size or appearance.An additional cystic lesion is identified in the pancreatic tail and is stable, measuring 1.2 x 1.6 cm (series 6, image 17), previously 1.1 x 1.7 cm.There is no pancreatic duct dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postoperative changes from a right partial nephrectomy are again noted. Multiple bilateral mixed T1 and T2 signal intensity lesions are identified consistent with simple and hemorrhagic cysts. Multiple lesions are too small to characterize.The previously identified T1/T2 hypointense, mildly enhancing lesion in the interpolar region of the left kidney measures 1.4 cm, (series 12, image 69) increased from prior study where it measured 1.2 cm. A previously identified T1/T2 hypointense nonenhancing left inferior pole lesion is unchanged measuring 1.0 cm (series 12, image 71), previously 1.0 cm.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Stable uncinate process and distal pancreatic tail sidebranch cystic lesions, likely representing IPMNs.2. Status post partial right nephrectomy. The mildly enhancing lesion in the interpolar region of the left kidney demonstrates a slight increase in size and is suspicious for a renal malignancy. A second T1/T2 hypointense lesion within the left inferior pole while unchanged in appearance remains suspicious.