68-year-old female patient with adrenal hemangioma per CT. Evaluate right adrenal mass for malignancy. ABDOMEN:LIVER, BILIARY TRACT: There is a small amount of non-specific pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: There is a 2.2 x 2.3 cm mass within the medial limb of the right adrenal gland which demonstrates mild T2 hyperintensity and progressive enhancement. The lesion questionably contains fat which may demonstrate loss of signal on out of phase imaging (best seen on image 35, series 301 and image 36, series 301).KIDNEYS, URETERS: There is a left renal cyst. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Compression deformity of the L1 vertebral body.OTHER: No significant abnormality noted.
1.Progressively enhancing right adrenal mass is favored to represent a benign lesion such as a hemangioma or adenoma. However, follow up MRI in 6 months is recommended to prove stability. Furthermore, correlate with appropriate serum markers to exclude pheochromocytoma.2.Non-specific pericholecystic fluid. 