70 year old female patient with history of RCC x 4 with a right renal mass and right flank pain. ABDOMEN:LIVER, BILIARY TRACT: Multiple scattered lobulated T2 hyperintense hepatic lesions likely represent hemangiomas when compared to an OSH MRI with contrast from 7/23/2012.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Status post left adrenalectomy.KIDNEYS, URETERS: Status post left nephrectomy without specific evidence of disease recurrence in the left nephrectomy bed.A heterogeneous and complex lesion in the right interpolar region continues to slowly enlarge measuring approximately 2.1 x 1.9 cm (image 28, series 7), previously 1.8 x 1.6 cm. A septated right inferior pole cystic lesion is grossly stable measuring 1.8 x 1.0 cm (image 33, series 7), previously 1.6 x 1.0 cm. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Bilateral breast prostheses are partially imaged.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus is atrophic or absent.BLADDER: No significant abnormality noted.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.Progressive enlargement of a right interpolar complex lesion which most likely represents renal cell carcinoma.2.No specific evidence of disease recurrence on the left. 