Male; 77 years old. Reason: Probable renal cell carcinoma by prior MRI. Please evaluate progression History: As above ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense lesions in both lobes of the liver do not demonstrate enhancement and are consistent with cysts, similar to prior study. No suspicious hepatic lesions. Mild diffuse hepatic steatosis. Portal and hepatic veins are patent.SPLEEN: T2 hyperintense splenic lesion has slightly increased in size and measures up to 15 x 10 mm (series 805/300), previously 13 x 8 mm; the lesion demonstrates gradual internal enhancement on delayed phase images, most suggestive of a benign hemangioma, which can grow. Additional nonspecific, smaller T2 hyperintense splenic lesions are not significantly changed, likely due to additional benign lesions.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable small exophytic, peripherally enhancing lesion arising from medial aspect of lower pole which measures 9 mm, previously 9 mm, which again may be due to a renal cell carcinoma (series 801/132). Additional nonenhancing simple and hemorrhagic cysts in both kidneys, not significantly changed.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable levoscoliosis lumbar spine.OTHER: No significant abnormality noted.
Unchanged enhancing 9 mm lesion arising from the inferomedial right kidney, which again may be due to a small renal cell carcinoma.