Abdominal pain. History of ETOH abuse. Abnormal ultrasound. ABDOMEN:LIVER, BILIARY TRACT: There is mild fissural prominence and enlargement of the left hepatic lobe. The liver is otherwise normal in signal intensity and enhancement. No focal suspicious hepatic lesion. No vascular abnormality.The gallbladder is normal in appearance. No biliary ductal dilatation or gallstones.SPLEEN: 1.2 x 1.2 cm peripheral splenic T2 weighted nonenhancing hyperintensity, likely a cyst.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: 2.5 x 2.2 cm left adrenal nodule (series 5 image 23) which is homogeneously mildly hyper relative to muscle and demonstrates signal dropout on out of phase imaging compatible with a lipid rich adrenal adenoma. Additional 1.3 cm left adrenal body nodule with similar imaging characteristics.KIDNEYS, URETERS: No significant abnormality noted.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. No suspicious focal hepatic lesion.2. Left adrenal nodules with signal characteristics compatible with lipid-rich adrenal adenomas.