Reason: Multiple hypodense renal cysts and hematuria with a h/o bladder cancer s/p cystectomy and ileal conduit. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal signal intensity without suspicious focal lesions. Status post cholecystectomy. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Please note that evaluation is somewhat limited by motion causing misregistration on subtraction images which limits evaluation for enhancement. Multiple small simple renal cysts are present bilaterally. There are several additional lesions corresponding to the high attenuation lesions described on recent CT. An exophytic right midpole lesion (series 701, image 48) measures 1.6 x 1.7 cm, demonstrates low T2 signal and high T1 signal, does not appear to enhance, and is compatible with a complicated cyst. An exophytic left upper pole lesion (series 61, image 22) measures 1.9 x 1.5 cm, demonstrates intermediate T2 signal and increased T1 signal, does not appear to enhance, and is also compatible with a complicated cyst. Additional smaller complicated cysts are present bilaterally none of which display suspicious features. No hydronephrosis. The kidneys enhance and excrete symmetrically without visualized collecting system filling defects.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of cystectomy and ileal conduit. Herniation of the colon is noted at the ostomy site without evidence of obstruction. Colonic diverticulosis.BONES, SOFT TISSUES: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus is atrophic or surgically absent.BLADDER: Status post cystectomy.LYMPH NODES: Status post bilateral lymph node dissection. No pelvic or inguinal lymphadenopathy.BOWEL, MESENTERY: See above. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Bilateral complicated renal cysts without definite enhancement, however, evaluation is somewhat limited by motion and follow-up is recommended in 6 months to ensure stability.2.No specific evidence of residual or recurrent malignancy.3.Parastomal hernia at the ileostomy site containing nonobstructed colon.