History of Hippel-Lindau syndrome. Pheochromocytoma status post removal. Following pancreatic cyst. Renal cell cancer surveillance. ABDOMEN:LIVER, BILIARY TRACT: Punctate hyperintense hepatic foci likely represent very small hepatic cysts. The liver is normal in morphology, size, signal intensity and enhancement. No suspicious liver lesion. No intra or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal in morphology, size and enhancement without a focal lesion.PANCREAS: Punctate cystic lesion in the pancreatic tail is unchanged in size, measuring approximately 6 mm (series 4/15) without suspicious features.The pancreas is otherwise normal morphology and enhancement. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: Status post right adrenalectomy. There is a non-specific punctate 5 mm T2-weighted hyperintense nodule which appears to involve the medial limb of the left adrenal gland, not well seen on prior study, but likely present on 2013 study. No associated restricted diffusion. KIDNEYS, URETERS: The kidneys are normal in morphology and size without a suspicious lesion. No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bibasilar dependent consolidation/atelectasis, new from the prior study.
1.Stable punctate pancreatic cyst measuring 6 mm without suspicious imaging characteristics.2.Status post right adrenalectomy without evidence of local recurrence.3.New bibasilar consolidation/atelectasis.4.5 mm left adrenal medial limb non-specific T2-weighted hyperintense focus is non-specific. Attention to this lesion on follow-up imaging is recommended.