Male 72 years old Reason: PET shows FDG uptake in left adrenal gland. MRI adrenal advised. Please assess for malignancy. History: HL on active therapy ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. The liver dome is incompletely imaged on this study.SPLEEN: Multiple subcentimeter lesions within the spleen which are isointense to fat on T2 weighted images and demonstrate arterial enhancement. These are nonspecific but may represent hemangiomas. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: 2.3-cm lesion within the left adrenal gland, isointense to the spleen on T2 weighted images. This is stable in size compared to remote CT 11/06/14. This demonstrates diffusion restriction and on out of phase images the majority of the lesion does not demonstrate signal drop out and it therefore is not compatible with a fat rich adenoma. The right adrenal gland is unremarkable. KIDNEYS, URETERS: Multiple T2 hyperintense lesions both kidneys are most consistent with renal cysts.RETROPERITONEUM, LYMPH NODES: Subcentimeter retrocrural lymph nodes are nonspecific.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.2.3-cm left adrenal lesion is stable in size compared to prior study. This does not meet criteria for a fat rich adenoma and is indeterminate. Continued follow-up is recommended.