72-year-old male with history of renal cell carcinoma with new lung lesions ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous lesions in the liver are unchanged. Largest ones are cysts. Some of them are too small to accurately characterize but stable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nodular left adrenal gland is unchanged. Nodular right adrenal gland is also unchanged.KIDNEYS, URETERS: Status post right nephrectomy. Cysts involving the left kidney are unchanged. Punctate, nonobstructing stone in the lower pole of the left kidney is unchanged.RETROPERITONEUM, LYMPH NODES: Borderline enlarged retroperitoneal lymph nodes are unchanged. For reference purposes a left para-iliac node measures 1.2 by 0.9 cm on image number 91, series number 3.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Enlarged prostate gland. Enhancement in the posterior peripheral zone is suspicious for prostate cancer. Correlation with PSA level and/or pelvic MRI is recommended.BLADDER: Diffuse wall thickening of the bladder.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
No significant change in the abdomen. Enhancement within the posterior peripheral zone although prostate, suspicious for prostate cancer. Correlation with PSA values and/or biopsy results is recommended.