75-year-old female with a history of a left adrenal mass. ABDOMEN:LIVER, BILIARY TRACT: There are multiple scattered subcentimeter hypervascular foci which do not persist on delayed imaging which are too small to characterize but do not demonstrate washout kinetics. There is a 1.3 x 0.9 cm hypervascular focus in segment IVA of the liver which does not demonstrate washout kinetics and has the imaging characteristics of a FNH but also remains too small to characterize. SPLEEN: No significant abnormality noted.PANCREAS: Mildly dilated main pancreatic duct is of unclear etiology. No focal mass lesion is identified. ADRENAL GLANDS: There is a round left adrenal mass which demonstrates heterogeneous but predominately increased T2 signal abnormality and avid enhancement, measuring 2.8 x 2.8 cm.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left adrenal mass with imaging characteristics suggestive of a pheochromocytoma although a lipid poor adrenal adenoma remains as a differential consideration.2.Multiple scattered nonspecific hypervascular foci in the liver are too small to characterize but may represent focal nodular hyperplasia. 3.Mild dilation of the main pancreatic duct without evidence of a focal mass lesion is of unclear etiology and clinical correlation is indicated. 