73-year-old female with bilateral adrenal masses, mildly elevated metanephrines ABDOMEN: Examination is limited due to lack of IV contrast.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Bilateral adrenal gland nodules are again noted, restricting diffusion.The right lateral nodule measures approximately 3.8 x 2.0 cm. The lesion is multiseptated with fluid fluid levels. The left adrenal gland nodule measures 3.0 x 2.2 cm and demonstrates drop in signal on out of phase images consistent with microscopic fat.KIDNEYS, URETERS: Numerous subcentimeter T2 hyperintensities are presumably renal cysts. No hydronephrosis or perinephric inflammation.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Probable hemangioma in the mid thoracic vertebral body.OTHER: No significant abnormality noted.
1.Examination is limited due to lack of IV contrast. 2.Indeterminate multiseptated right adrenal gland nodule with fluid fluid levels. 3.Left adrenal gland nodule demonstrates drop in signal on out of phase images compatible with a microscopic fat-containing adenoma.