30 year-old male with left flank pain. Rule out renal stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: There is a 2.6 x 4 cm mass which appears contiguous with the left adrenal at axial image 50/175. Numerous punctate calcifications are present in this mass. The mass attenuation measures 36 Hounsfield units average. Further characterization with dedicated adrenal MRI or CT examination would be helpful, if indicated.KIDNEYS, URETERS: No nephrolithiasis. Mild fat stranding surrounding the left kidney may be due to pyelonephritis or recent passage of stone. Right kidney is normal.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: L5 vertebral segment is sacralized on the left.OTHER: No significant abnormality noted
Left adrenal mass with punctate calcifications. See above.No nephrolithiasis. Mild fat stranding surrounding the left kidney may be due to pyelonephritis or recent passage of stone. Right kidney is normal.L5 vertebral segment articulates with the sacrum on the left side and may be a source of back pain.