36-year-old male history testicular cancer status post orchiectomy, chemo for increased RPLN, also history renal transplant due to Alport syndrome. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN: The exam is not sensitive detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made:LIVER, BILIARY TRACT: Cholelithiasis without obvious biliary dilatation redemonstrated. No definite focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Small atrophic kidneys consistent with a history of chronic medical renal disease.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: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Renal allograft left iliac fossa. External iliac artery aneurysms redemonstrated on the left, cephalad component measured on series 4 image 1704.3 x 3.5 cm. previously 4 x 3.4 CM. The aneurysm has a bilobed configuration best seen on coronal and its 65/130 with a larger proximal component with a maximal cross-sectional 4.5-cm is seen on image 64/130 which is essentially unchanged from the prior exam. The caudal component measures 2.3-cm in cross-section on the same coronal image is also essentially unchanged.Proximal to the aneurysms, the common iliac artery is ectatic and dilated up to 2.3 cm series 4 image 152, unchanged.
Comparison of coronal and axial images suggest only minimal if any increase in size of the bilobed left external iliac artery aneurysms.Cholelithiasis.