Male; 80 years old. Reason: History of bilateral iliac aneurysms seen on MRI in May 2014. Repeat MRI to evaluate interval change. Abdomen:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: This study is not optimized for characterization of renal lesions, although the previously noted cystic lesion in the upper pole of the left kidney contains thin septations and measures 3.6 x 3.4 cm, previously 3.7 x 3.2 cm (series 601, image 24). Small T1 hyperintense focus located posteriorly within the lesion may represent an area of hemorrhage as discussed on the prior MRI (series 503, image 74). Subcentimeter simple cysts are also noted within the left kidney. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: Marked aneurysmal dilatation of the bilateral common iliac arteries is again noted, measuring 4.1 cm on the right (series 1801, image 23) and 3.5 cm on the left (series 1801, image 34). Previously, measurements were 4.2 cm on the right and 3.6 cm on the left. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate cardiomegaly.Pelvis:PROSTATE/SEMINAL VESICLES: Heterogeneous appearance of the prostate, which may be related to patient age. BLADDER: No significant abnormality noted.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.No significant interval change in size of bilateral common iliac artery aneurysms. Please see reference measurements above. 2.Complex cyst in the upper pole of the left kidney does not appear grossly changed, although it should be noted that this exam is not optimized for complete evaluation of renal lesions. 