64 year old male. CT abdomen describing bilateral renal lesions indeterminate. Recommended MRI of kidneys. No symptoms. Post-contrast sequences are degraded by motion artifact (patient was feeling nauseated), somewhat limiting evaluation.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Mild diffuse thickening of the right adrenal gland with no focal lesion.KIDNEYS, URETERS: 2.1 x 1.5 cm complex T2 hyperintense lesion with multiple thick enhancing septations and a questionable small mural nodule posteriorly (series 10, image 18) in the midpole of the left kidney. Additional subcentimeter simple appearing cysts in both kidneys.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.
Complex cystic lesion with enhancing thick septations in the left midpole kidney, suspicious for a cystic renal cell carcinoma. No evidence of local metastatic disease.