43-year-old woman with history of tuberous sclerosis and renal angiomyolipoma on Afinitor therapy. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. There is no intra or extrahepatic biliary ductal dilatation. The gallbladder is normal. The portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: Within the tail of the pancreas, there is an 8 mm T2 hyperintense cystic focus (7/19) which is unchanged in size from the prior CT. The pancreatic duct is nondilated and the remaining parenchyma appears normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Innumerable bilateral fat-containing renal cortical masses are seen, not significantly changed in size and without definite evidence of malignant transformation. For reference, the largest lesion on the right (7/22) measures 69 x 53 mm, previously 81 x 67 mm on the CT from 2/2016.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Very small left pleural effusion.
Overall slightly smaller to stable size of innumerable bilateral renal angiomyolipomas.