63-year-old man with history of left upper quadrant subcutaneous mass and new right flank mass, not palpable on clinical exam. ABDOMEN:LIVER, BILIARY TRACT: Segment 8 hepatic cyst noted, otherwise the liver is normal in signal and morphology. The patient is status post cholecystectomy. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is atrophic and there is distal ductal dilatation with susceptibility artifact in the tail suggestive of calcification.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple bilateral renal cysts noted. There is no hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a 9 mm subcutaneous area of susceptibility in the anterior right midabdomen (9/36) which correlates to a punctate metallic fragment on CT. No additional significant soft tissue abnormality is seen, specifically no abnormality in the left upper quadrant or the right flank.OTHER: No significant abnormality noted.
No finding to explain the patient's symptoms, specifically no subcutaneous mass or hernia involving the left upper quadrant or right flank.