81-year-old female with abdominal pain. CT showing adrenal and renal mass. Evaluate for metastatic disease.Patient with history of cavitary mass in the left lung apex. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion. Cholelithiasis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Heterogeneous left adrenal gland lesion with T2 heterogeneous signal and evidence of enhancement. This lesion measures 3.4 x 3.5 cm (series 6, image 66).KIDNEYS, URETERS: There is a bilobed T2 hyperintense and T1 hypointense focus in the right kidney consistent with benign cyst. Additionally, there are 2 subcentimeter left renal cysts.The kidneys enhance symmetrically without evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: Infrarenal aorta is ectatic with the largest dimension measuring approximately 2.5 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Heterogeneous enhancing left adrenal gland lesion is most compatible with metastatic disease2.Benign renal cysts.3.Cystic lesion abutting the portion of the duodenum may represent duplication cyst.4.Infrarenal aortic ectasia.5.Cholelithiasis.