History of recurrent retroperitoneal sarcoma of the right adrenal gland status post resection and radiation therapy. According to pathology reports the patient had a right adrenal cortical neoplasm with myxoid features 1/23/2014 and recurrence excised 1/7/2016. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Right hepatic lobe calcifications. No significant intra or extrahepatic biliary ductal dilatation. No focal lesion or vascular abnormality. Mildly T2-hyperintense region in the medial inferior aspect of the right hepatic lobe has no additional signal abnormality, likely post-treatment and/or artifactual. SPLEEN: Normal splenic size without a focal lesion.PANCREAS: Mildly atrophic pancreas without pancreatic ductal dilatation or suspicious lesion.ADRENAL GLANDS: Postsurgical changes from right adrenalectomy without findings of recurrent or residual disease. The left adrenal gland is unremarkable.KIDNEYS, URETERS: Left renal upper pole minimally complex appearing septated cyst, unchanged.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace locule of fluid along the right lateral aspect of the heart is seen on recent CT, likely pericardial fluid.
No evidence of recurrent or residual disease in the right adrenalectomy bed. No additional sites of disease.