History of renal cell carcinoma liver metastases. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis.The reference segment 6 lesion measures approximately 8 x 7 mm (series 11/47), compared to 9 x 6 mm previously.The reference segment 2 lesion measures 2.3 x 1.5 cm (series 11/69), compared to 1.9 x 1.5 cm previously.Reference peripheral segment 6 lesion measures 3.5 x 2.1 cm (series 3/11), compared to 3.4 x 2.3 cm previously. The additional peripherally enhancing lesions in the liver are not significantly changed in size.Segment 5 hemangioma and adjacent cysts are unchanged.SPLEEN: No significant abnormality noted.PANCREAS: Stable nonenhancing cystic lesion in the pancreatic head measuring approximately 1.4 x 0.8 cm (series 11/224).ADRENAL GLANDS: Status post right adrenalectomy. The left adrenal gland is stable in appearance with mild nodular thickening.KIDNEYS, URETERS: Postsurgical changes from right nephrectomy. Complex cystic lesion in the left upper pole with calcification is unchanged. Additional renal cysts are noted and are unchanged without suspicious features.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scoliosis.OTHER: No significant abnormality noted.
1.No significant interval change in the metastatic liver lesions. 2.Stable nonspecific pancreatic cystic lesion without suspicious imaging characteristics, likely a branch-type IPMN.