Male 23 years old Reason: evaluation of angiomyolipomas on Afinitor History: tuberous sclerosis EXAMINATION: MR renal protocol with and without contrast. ABDOMEN:LIVER, BILIARY TRACT: Gallbladder stones without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Reference exophytic lesion in the left mid kidney (series 501 image 16) currently measures 1.76 x 1.31 cm, previously 17.8 x 1.7 cm with same T2 hypointensity signal compared to 11/06/2015. This lesion does not demonstrate enhancement or fat on in and out of phase images.The lesion in the mid/inferior pole of the left kidney again demonstrates fat on in and out of phase imaging and currently measures 1.46 x 10.2 cm (series 501 image 19) slightly decrease in size when compared with 11/06/2015.Again multiple T1 and T2 hypointense lesions are noted in the kidneys bilaterally, which may represent hemorrhagic cysts, also T2 hyperintense renal cysts are noted bilaterally, measuring up to 2.43 cm in the inferior pole of the right kidney, 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.Exophytic lesion in the mid left kidney minimally decreased in size compared to prior examination and does not contain fat. Recommend continued follow up of this lesion.2.Angiomyolipoma in the mid/inferior pole of the left kidney also decreased in size.3.Numerous bilateral renal cysts.4.Cholelithiasis.