64-year-old female with metastatic renal cell carcinoma and possible metastases ABDOMEN:LUNG BASES: Small left-sided pleural effusion and dependent atelectasis. Calcified mediastinal lymph nodes.LIVER, BILIARY TRACT: Bilateral extensive liver metastases. An index lesion in the left lobe measures 3.3 x 2.7 cm, image number 51, series number 3.Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: The tail of the pancreas is diffuse the hypodense. A solid neoplasm in the distal body and tail cannot be excluded. Further evaluation with MRI of the pancreas is recommended. Splenic vein is not well seen. There are venous collaterals around the stomach.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral atrophic kidneys.Small hypodense lesions in the left kidney which are too small to accurate characterize.Right kidney is very heterogeneous with multiple scars. Multiple cysts in the upper pole. Lower pole of the right kidney has lobulated contours with ill-defined heterogeneous density. These findings may represent postsurgical changes, however, a solid lesion cannot excluded with this single phase study.RETROPERITONEUM, LYMPH NODES: Borderline enlarged retroperitoneal lymph nodes. Index portacaval node measures 15 by 11 mm on image number 55, series number 3.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Not well visualized.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Extensive hepatic metastatic disease.Diffusing hypodense tail of the pancreas. A solid neoplasm cannot be excluded. Further evaluation with MRI of the pancreas is recommended.Cholelithiasis.Bilateral atrophic kidneys. Lower pole of the right kidney is heterogeneous with lobulations. Possibility of a solid lesion in the lower pole of the right kidney cannot be excluded. Follow-up imaging is recommended.