Reason: S/p Adrenalectomy. Follow up exam. History: S/p Adrenalectomy. Follow up exam. (Adrenocortical neoplasm resected 1/23/2014). ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.Mild intrahepatic and extrahepatic biliary ductal dilatation is unchanged and likely related to cholecystectomy. T1 hypointensity in the right hepatic lobe that corresponds with coarse calcifications on CT is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Postsurgical changes of a right adrenalectomy. Heterogeneous soft tissue interspersed with abdominal fat in the surgical bed is again noted. The reference enhancing soft tissue focus measures 17 mm (series 11 image 147), previously 15 mm, and demonstrates similar signal characteristics to the patient's original mass.KIDNEYS, URETERS: Left renal cyst, unchanged.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.
Interval increase in size of soft tissue focus in the right adrenalectomy bed with similar signal characteristics to the patient's original mass. Findings are suspicious for enlarging residual tumor/recurrence.