History of von Hippel-Landau syndrome. Evaluate renal lesions. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size measuring 13.8 cm in craniocaudal dimension. Scattered subcentimeter hepatic cysts. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. No biliary ductal dilatation.SPLEEN: The spleen is normal in size, morphology and signal intensity without a focal lesion.PANCREAS: The main pancreatic duct is prominent up to 5 mm, slightly increased from the prior where it measured up to 3 mm. There is suggestion of pancreatic divisum. The main pancreatic duct is irregular and tortuous with a transition point at the level of the pancreatic head which may represent a benign stricture, as there is no evidence of a discrete mass lesion. The parenchyma is normal in morphology, signal intensity and enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple and minimally complex right renal cyst the largest measuring 1.9 x 1.6 cm with several thin non-enhancing septations, not significantly changed from prior MR. Punctate left renal simple cyst. Partially exophytic left renal inferior pole intermediate T2-weighted signal intensity lesion measuring 1.8 x 1.9 cm demonstrates no postcontrast enhancement and is compatible with a minimally complex proteinaceous or hemorrhagic cyst, unchanged from the prior.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. Simple and minimally complex renal cysts. No suspicious renal lesion.2. Increasing dilatation of the main pancreatic duct up to 5 mm without a discrete lesion evident. This may be related to a focal stricture. Possible pancreas divisum. ERCP/US as clinically indicated should be considered. 