History of von Hippel-Lindau syndrome. Evaluate change in bilateral renal cysts. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic parenchyma is replaced by innumerable small cystic lesions. The pancreatic duct is not clearly defined.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral T1 and T2 weighted variable intensity lesions are again noted and are not significantly changed in size. Postcontrast subtraction images demonstrate no enhancing lesion or mural nodule. Please note that the postcontrast axial images do not include the inferior pole of the left kidney. On coronal images the septated cystic lesion is unchanged.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.Stable multiple simple and minimally complex renal cysts without suspicious enhancement. No suspicious renal lesion.2.Stable innumerable pancreatic cysts without suspicious imaging characteristics.