46-year-old male with uncontrolled hypertension, elevated metanephrines ABDOMEN:LIVER, BILIARY TRACT: Multiple scattered T2 hyperintense foci throughout the right lobe of the liver are too small to further characterize but likely reflect benign cysts. Cholelithiasis within a contracted gallbladder is present. The common bile duct is normal in caliber. There is mild enlargement of the caudate lobe and left lobe of liver with prominence of the fissures raising the question of cirrhotic liver morphology.SPLEEN: Top normal splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: There is a right adrenal gland nodule measuring 1.8 x 1.5 cm (series 7, image 31). There is a left adrenal gland nodule measuring 1.3 x 1.3 cm (series 7, image 28). An additional left adrenal gland nodularity measures approximately 2.4 x 1.7 cm (series 7, image 22). This dropout of signal on out of phase images of all three adrenal nodules.KIDNEYS, URETERS: T2 hyperintense cyst in the inferior pole of the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right adrenal gland nodule and two left adrenal gland nodules with imaging characteristics more consistent with adenoma. 2.Mild enlargement of the caudate lobe and left lobe of liver with prominence of the fissures raises the question of cirrhotic liver morphology. Clinical correlation is advised.