62-year-old male with left adrenal mass. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. Redemonstration of small, peripheral portal hepatic venous shunt is noted in the right hepatic lobe.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: There is redemonstration of a 5 x 3.1 x 5.6 cm part cystic and part solid left adrenal mass. Again, the cystic components demonstrate thin-walled enhancement, and the solid component demonstrates homogeneous enhancement. On in-and-out of phase images, there is a equivocal loss of signal to indicate microscopic fat within the soft tissue component. As a result, the lesion remains indeterminate, and malignancy cannot be excluded.KIDNEYS, URETERS: Small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Compression deformities of T12 and L1 vertebral bodies, as detailed on MRI lumbar spine from 6/5/2015.BONES, SOFT TISSUES: Body wall anasarca.OTHER: Mild abdominal ascites.
Part cystic and part solid left adrenal mass is overall indeterminate. Malignancy cannot be excluded. Biopsy versus short interval follow-up imaging can be performed as clinically indicated.Findings discussed with Dr. Wang at 10:00 AM on 6/10/2015.