Results

Chest: 
1. No evidence of metastatic disease within the chest.

Abdomen: 
1. Postsurgical changes from partial left nephrectomy. Next on
2. No evidence of malignancy in the abdomen or pelvis.
3. Hepatic steatosis.
4. 1.4 cm cyst in the right kidney.


Signed By: Brown MD, Benjamin

EXAM: CT-ABDOMEN & PELVIS W CONT, CT-CHEST W CONTRAST

INDICATION: Malignant neoplasm of the left kidney

COMPARISON: January 5, 2018

TECHNIQUE: Standard per department protocol following the administration 100 mL Omnipaque 350 intravenous contrast. Up-to-date CT equipment and radiation dose reduction techniques were employed.

FINDINGS:

Scout: No additional abnormality.

CHEST:
Lungs and tracheobronchial tree: The central airways are patent. No suspicious pulmonary nodules.
Pulmonary arteries: The pulmonary arteries are not enlarged.
Mediastinum: No mediastinal or hilar lymphadenopathy. The heart and great vessels are normal.
Thyroid gland: Normal.
Esophagus: Normal.
Chest wall: Normal.

ABDOMEN/PELVIS
Liver and biliary system: Hepatic steatosis. No focal hepatic lesions. The gallbladder is grossly normal without biliary ductal dilation.
Spleen: Normal. 
Adrenal glands: Normal. 
Pancreas: Normal.
Genitourinary: Postsurgical changes from partial left nephrectomy. No evidence of recurrent or residual neoplasm. There is an ill-defined hypodense lesion in the right kidney measuring 1.4 x 1.0 cm with average Hounsfield unit measurement of 7 consistent with a cyst. No renal calculi. No hydronephrosis. The bladder is normal. The prostate and seminal vesicles are normal. 

Bowel: The small and large bowel are normal in caliber. No bowel wall thickening. The appendix is normal.
Abdominal wall: Normal. 
Peritoneal cavity: No free or loculated fluid collections are seen.

Vasculature: No aneurysm. 
Lymph nodes: No lymphadenopathy is appreciated. 

Osseous structures: No suspicious abnormality.

toughts?????