Female 65 years old. Further evaluation of 2.5 cm right adrenal gland nodule which does not meet imaging criteria for a benign adenoma, indeterminate for malignancy. ABDOMEN:LIVER, BILIARY TRACT: No biliary ductal dilation, or ascites. There is a well-circumscribed 5 mm T2 hyperintense, nonenhancing lesion in the right lobe of the liver consistent with a simple cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Enhancing 2.5 x 2.2 cm right adrenal mass demonstrates loss of signal on out of phase imaging consistent with benign adenoma. The left adrenal gland is unremarkable.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Moderate hiatal hernia.BONES, SOFT TISSUES: The lesion within the right posterior aspect of the T12 vertebral body as well as T1, intermediate on T2 weighted images and enhances. This may represent an atypical hemangioma.OTHER: 5.3 x 4.1 cm cystic left ovarian lesion is only seen on coronal T2 weighted images. It has the appearance of a simple cyst but is incompletely evaluated on this exam (series 3, image 18). Fibroid uterus.
1.Right adrenal adenoma.2.5.3 x 4.1 cm cystic left ovarian lesion is incompletely imaged. Further evaluation with pelvic ultrasound is recommended.