78-year-old female with bilateral renal cysts. Evaluate for interval change. Limited evaluation of the solid parenchymal organs due to the lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Limited evaluation due to the lack of intravenous contrast. Multiple small simple renal cysts are present bilaterally. Multiple T1 hyperintense cysts are also again noted, similar in size, and compatible with hemorrhagic cysts versus proteinaceous fluid. The largest T1 hyperintense lesion measuring 2.7 x 2.4 cm is again noted in the left upper renal pole (axial series 10 image 56). No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: A right lower quadrant ostomy is partially visualized, and there is a stable parastomal hernia of transverse colon superiorly (series 2 image 17). No bowel obstruction.BONES, SOFT TISSUES: Degenerative changes of the spine.OTHER: No significant abnormality noted.
Stable bilateral renal cysts. Some are simple and others demonstrate T1 hyperintense signal compatible with hemorrhage versus proteinaceous fluid. The lack of intravenous contrast limits further evaluation. 