42-year-old female with a history of right adrenal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a wedge-shaped hypodense area within the left lobe liver likely representing focal fatty infiltration. MRI of the liver may be obtained for further evaluation.3.1 x 2.1 cm hypodense mass in the left lobe liver image number 55, series number 10 highly suspicious for metastatic disease.SPLEEN: Nonspecific 1.2-cm hypodense lesion in the spleen on image number 34, series number 10. Metastatic disease cannot be excluded.PANCREAS: No significant abnormality notedADRENAL GLANDS: There is an 18 by 16.5 by 22-cm mass superior to the right kidney. The mass indents and possibly invades the liver, IVC and the right kidney. This mass likely represents an adrenocortical carcinoma arising from the right adrenal gland. Left adrenal glands unremarkable.KIDNEYS, URETERS: Left kidney is unremarkable. Right suprarenal mass likely representing adrenocortical carcinoma inmates the right kidney. Venous collaterals posterior and lateral to the right kidney.RETROPERITONEUM, LYMPH NODES: IVC filter is in place. Retroperitoneal adenopathy. An index retrocaval lymph node measures 1.9 by 1.4 cm on image number 72, series number 10.IVC is invaded by the large mass. Major retroperitoneal vessels are displaced laterally and anteriorly by the mass.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Right suprarenal mass concerning for adrenocortical l carcinoma. The mass invades the IVC, right kidney and possibly liver.Left lobe lesion in the liver highly suspicious for metastatic disease. Focal fatty infiltration in the liver likely secondary to invasion of the IVC.Metastatic adenopathy.Nonspecific hypodense lesion in the spleen. Metastatic disease cannot be excluded.