75-year-old man status post adrenalectomy for a right adrenal neoplasm. ABDOMEN:LIVER, BILIARY TRACT: Right hepatic lobe calcifications. The liver is otherwise normal in signal and morphology. The patient is status post cholecystectomy. There is no significant intra or extrahepatic duct dilatation.SPLEEN: The spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The patient is status post right adrenalectomy. In the right adrenalectomy bed (series 4, image 29) there is a peripherally T2 hyperintense lesion measuring 22 x 20 mm, previously 17 mm. There is no loss of signal on opposed phase imaging to suggest microscopic fat and this lesion does not significantly enhance until the 3 minute delayed phase of imaging (series 11, image 44). An additional, subcentimeter focus of soft tissue posterior to this lesion appears stable to prior examinations and is most likely postoperative scarring given relative stability.KIDNEYS, URETERS: A left renal cyst is unchanged. The right kidney is normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Enlarging lesion in the right adrenalectomy bed suspicious for residual/recurrent tumor.