61-year-old male with history of microhematuria and 1.4-cm echogenic renal mass ABDOMEN:LUNG BASES: Subcentimeter nonspecific nodule in image number 5, series number 7 in the left lower lobe. Subsegmental atelectasis in the left lower lobe.Small right sided pleural effusion.LIVER, BILIARY TRACT: Multiple cysts throughout the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple stones within the left kidney, predominantly in the lower pole largest measuring 1.1-cm. No hydronephrosis. No stones in the right kidney. No evidence of ureteral stones.1.3-cm enhancing mass in the lower pole of the right kidney. This mass measures 53 HU on the noncontrast and measures 80 HU on the delayed phase images. This is suspicious for a renal cell carcinoma such as papillary variant. Subcentimeter lesion in the midpole of the right kidney, on image number 48, series number 9 measures 8 mm and demonstrates possibly 30 this enhancement.2.2 x 1.2 cm hypodense lesion in the upper pole of the left kidney likely representing a simple cyst. There are multiple other small hypodense lesions which are too small to adequately characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Mildly enlarged prostate.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Left nephrolithiasis.Right lower lobe enhancing lesion suspicious for renal cell carcinoma. Another subcentimeter lesion within the right kidney, too small to accurate characterize but likely demonstrates heterogeneous enhancement.Left renal cyst. Multiple other subcentimeter lesions in both kidneys which are too small to characterize.Multiple hepatic cysts.