22-year-old female with recurrent paraganglioma post MIBGEXAMINATION: MR abdomen and pelvis without and with IV contrast 2/25/2015 ABDOMEN:LIVER, BILIARY TRACT: Normal with no evidence of intra or extrahepatic biliary ductal dilatation. Gallbladder is normal.SPLEEN: Normal.PANCREAS: Normal. No evidence of pancreatic ductal dilatation.ADRENAL GLANDS: Redemonstration of a low T1, high T2 enhancing left suprarenal lesion measuring 2.5 cm x 2.4 cm (Series 501, image 19) previously measured 2.3 cm x 2.3 cm. The left adrenal gland is not identified separate from this lesion. The right adrenal gland is normal. KIDNEYS, URETERS: Normal bilaterally with no evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: There is a similar appearing aortocaval mass with prominent mass effect on the adjacent IVC measuring 3.0 cm x 2.8 cm (series 501, image 6) previously measured 3.1 cm x 2.7 cm. BOWEL, MESENTERY: Normal in caliber with no evidence of obstruction.BONES, SOFT TISSUES: Numerous enhancing lesions throughout the pelvis, proximal left femur and visualized spine which appear similar to prior. A lesion within the L5 vertebral body is again seen not significantly changed with epidural extension and partial effacement of the thecal sac as well as possible impingement on the exiting left S1 nerve root.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: NormalBLADDER: NormalLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Normal in caliber with no evidence of obstruction.BONES, SOFT TISSUES: Numerous enhancing lesions throughout the skeleton as described above.OTHER: No significant abnormality noted
No significant interval change in left suprarenal mass as well as widespread osseous and retroperitoneal metastatic disease. Epidural extension of the L5 lesion with impingement on the exiting left S1 nerve root is not significantly changed. 